选择性动脉栓塞治疗痔病大出血的临床分析  

Clinical analysis of selective arterial embolization for hemorrhoid hemorrhage

作　　者：邓涛 赵汉青 郭莉莉 王中勋 牛万成 史跃 DENG Tao;ZHAO Hanqing;GUO Lili;WANG Zhongxun;NIU Wancheng;SHI Yue(The 71st army hospital of PLA,Xuzhou 221004,China)

机构地区：[1]中国人民解放军陆军第七十一集团军医院,221000

出　　处：《中国老年保健医学》2024年第4期134-136,共3页Chinese Journal of Geriatric Care

基　　金：原南京军区医学科技创新重点项目(项目编号:2010Z009)。

摘　　要：目的探讨选择性动脉栓塞微创治疗痔病出血的临床疗效,改变传统的由开放式向血管内闭合式治疗的手术方式,实现手术入路由外向内的转变。方法17例痔病患者在数字减影血管造影术精准引导下超选择至直肠上动脉及其左右分支,经微导管送入微弹簧圈进行栓塞,阻断痔的供血动脉。结果17例患者均顺利完成手术,16例1次栓塞成功,1例栓塞3次成功,术中生命体征平稳。术后随访6~12个月,所有患者未再出血,便后无痔核脱出,不适感消失。结论经血管入路选择性动脉栓塞治疗痔病出血的微创介入治疗技术,具有创伤小、痛苦少、止血快和定位精准等特点,为痔病患者开辟了一条新的治疗途径,有望成为痔病微创精准治疗的新方法。Objective To explore the clinical efficacy of minimally invasive selective arterial embolization in the treatment of hemorrhoid hemorrhage,and to change the traditional surgical mode from open to closed endovascular therapy,so as to achieve the transformation of the intraoperative route to the intraoperative route.Methods 17 cases of hemorrhoids patients with accurate guidance of DSA chose to go to the superior rectal artery and its left and right branches,and then were sent to the micro-spring coil via microcatheter for embolization to block the blood supply artery of hemorrhoids.Results All 17 patients successfully completed the operation,16 patients were successfully embolize once,1 patient was successfully embolize three times,and the intraoperative vital signs were stable.After 6 to 12 months of follow-up,all patients had no bleeding,no hemorrhoid prolapse after defecation,and the discomfort disappeared.Conclusion The minimally invasive interventional therapy for hemorrhoid hemorrhage by selective arterial embolization via vascular approach has the characteristics of less trauma,less pain,rapid hemostasis and accurate positioning,which has opened up a new therapeutic approach for hemorrhoid patients and is expected to become a new method of minimally invasive and accurate therapy for hemorrhoids.

关 键 词：痔 动脉 微创 栓塞 介入治疗 

分 类 号：R657.18[医药卫生—外科学]