[1]谢 坪,李 刚,于 翔.α-氰基丙烯酸正丁酯超选择动脉栓塞治疗血管发育不良性下消化道出血7例[J].介入放射学杂志,2016,(02):167-170.
　XIE Ping,LI Gang,YU Xiang.Super- selective arterial embolization with N- butyl cyanonacrylate for lower gastrointestinal bleeding due to angiodysplasia： report of seven cases [J].journal interventional radiology,2016,(02):167-170.
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α-氰基丙烯酸正丁酯超选择动脉栓塞治疗血管发育不良性下消化道出血7例 ()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2016年02期
页码:
167-170
栏目:
临床研究
出版日期:
2016-02-25

文章信息/Info

Title:
Super- selective arterial embolization with N- butyl cyanonacrylate for lower gastrointestinal bleeding due to angiodysplasia： report of seven cases 
作者:
谢 坪;  李 刚;  于 翔
Author(s):
XIE Ping;  LI Gang;  YU Xiang
Department of Radiology， Sichuan Provincial People’s Hospital， Sichuan Medical Science Academy， Chendu， Sichuan Province 610072， China
关键词:
【关键词】 胃肠道;  出血;  血管畸形;  α-氰基丙烯酸正丁酯;  经导管动脉栓塞术
文献标志码:
A
摘要:
【摘要】 目的 研究α-氰基丙烯酸正丁酯（NBCA）胶超选择动脉栓塞治疗血管发育不良（AD）所致下消化道出血的临床安全有效性，评价其远期效果。方法 回顾性分析2013年9月至2015年3月采用NBCA胶超选择动脉栓塞治疗的7例AD所致下消化道出血患者的临床资料、栓塞技术成功率、临床有效性及远期随访结果。结果 7例患者入院前有6～36个月反复便血、失血性贫血、多次输血史，栓塞术前血红蛋白最低38～70 g/L，平均（56.8±12.4） g/L；AD部位在空肠3例，回肠1例，升结肠1例，横结肠肝曲1例，降结肠1例。6例患者1次栓塞成功，1例横结肠血管畸形患者因2支直动脉参与供血，分2次超选择插管栓塞成功。栓塞使用NBCA胶与超液化碘油按1 ∶ 2～1 ∶ 3比例混合，用量为0.2～0.8 ml，平均（0.48±0.19） ml，技术成功率为100%。栓塞术后所有患者无肠壁缺血事件发生，无其它介入相关并发症；术后1～3 d出院，便血消失。1例慢性肾衰竭患者术后20 d再发出血，临床有效性为85.7%；6例术后随访追踪2～19个月（中位期10.5个月），出血症状消失，无再出血，无器官坏死并发症， 远期止血率为100%。结论 NBCA胶超选择动脉栓塞治疗AD所致下消化道出血安全有效，可取得较好的中远期疗效。

参考文献/References:

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备注/Memo

备注/Memo:
（收稿日期：２０１5-０7-21）
（本文编辑：边 佶）
更新日期/Last Update: 2016-02-22