中国医学科学院学报

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中国医学科学院学报

中国医学科学院学报 ›› 2014, Vol. 36 ›› Issue (5): 522-525.doi: 10.3881/j.issn.1000-503X.2014.05.012

• 论著 • 上一篇    下一篇

经导管选择性动脉栓塞术治疗十二指肠溃疡急性大出血的疗效分析

王志伟,李晓光,石海峰,潘杰,张晓波,杨宁,金征宇   

  1. 中国医学科学院 北京协和医学院 北京协和医院放射科,北京 100730
  • 收稿日期:2013-12-24 出版日期:2014-10-31 发布日期:2014-10-31
  • 通讯作者: 金征宇 电话:010-69155442 E-mail:pumchjinzhengyu@sina.com

Transarterial Embolization for Acute Massive Hemorrhage in Patients with Duodenal Ulcer

WANG Zhi-wei,LI Xiao-guang,SHI Hai-feng,PANG Jie,ZHANG Xiao-bo,YANG Ning,JIN Zheng-yu   

  1. Department of Radiology,PUMC Hospital,CAMS and PUMC,Beijing 100730,China
  • Received:2013-12-24 Online:2014-10-31 Published:2014-10-31
  • Contact: JIN Zheng-yu Tel:010-69155442,E-mail:pumchjinzhengyu@sina.com E-mail:pumchjinzhengyu@sina.com

摘要: 目的 探讨经导管选择性动脉栓塞术治疗十二指肠溃疡大出血的可行性及有效性。方法 回顾性分析2008年7月至2012年12月在北京协和医院因十二指肠溃疡急性大出血而接受动脉栓塞治疗的患者23例。栓塞剂均为弹簧圈联合明胶海绵。对这些患者的临床资料及造影栓塞疗效进行评价。结果 23例患者中,有20例经过一次栓塞出血即得到控制。栓塞后再次出现出血的3例患者中,1例经再次栓塞出血得到控制,2例行手术治疗。经导管选择性动脉栓塞急性大出血总的临床成功率为91%(21/23)。无严重并发症发生。结论 经导管选择性动脉栓塞术是治疗十二指肠溃疡急性大出血一种安全可行的方法。

关键词: 十二指肠溃疡, 大出血, 选择性动脉栓塞

Abstract: Objective To assess the feasibility and effectiveness of transarterial embolization for management of acute massive hemorrhage in patients with duodenal ulcer. Methods Twenty-two patients with duodenal ulcer underwent transarterial embolization for acute massive hemorrhage in our hospital between January 2007 and December 2012. Embolic agents were coils and gelatin sponge. The clinical data and embolization procedures of these patients were retrospective analyzed. Results Bleeding was controlled in 20 of 23 patients after the first embolization procedures. In the other 3 patients with rebleeding,one patient was successfully managed by repeat embolization and two patient underwent surgical treatment. The overall clinical success rate for acute hemorrhage after transarterial embolization was 91%(21/23). No severe complication occurred. Conclusion Transarterial embolization is safe and effective for acute massive hemorrhage in patients with duodenal ulcer.

Key words: duodenal ulcer, massive hemorrhage, selective transarterial embolization

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