[1]方主亭,唐 仪,吴少杰,等.介入治疗在胰十二指肠切除术后出血的临床应用[J].介入放射学杂志,2019,28(03):292-295.
 FANG Zhuting,TANG Yi,WU Shaojie,et al.Clinical application of interventional therapy for hemorrhage after pancreaticoduodenectomy[J].journal interventional radiology,2019,28(03):292-295.
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介入治疗在胰十二指肠切除术后出血的临床应用()

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

卷:
28
期数:
2019年03期
页码:
292-295
栏目:
临床研究
出版日期:
2019-03-25

文章信息/Info

Title:
Clinical application of interventional therapy for hemorrhage after pancreaticoduodenectomy
作者:
方主亭 唐 仪 吴少杰 周艳峰 杨厚林 陈良生
Author(s):
FANG Zhuting TANG Yi WU Shaojie ZHOU Yanfeng YANG Houlin CHEN Liangsheng.
Department of Interventional Radiology, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, Fujian Province 350001, China
关键词:
【关键词】 胰十二指肠切除术 术后出血 数字减影血管造影 介入治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨胰十二指肠切除术(PD)后出血DSA表现及介入治疗临床效果。方法 回顾性分析2014年1月至2018年2月19例在福建省立医院接受DSA检查和介入治疗的19例PD术后出血患者血管造影表现和介入治疗效果。结果 DSA检查发现19例患者中16例表现为对比剂外渗、假性动脉瘤或动脉管腔不光整,阳性率为84.2%(16/19)。DSA检查阳性患者除1例肠系膜上动脉分支出血超选插管困难外,均接受责任血管覆膜支架植入或栓塞治疗,技术成功率为93.8%(15/16);13例止血成功,止血率为86.7%(13/15);2例栓塞治疗后再出血患者转外科手术治疗。2例接受2次造影,结果1例为胃十二指肠动脉假性动脉瘤形成,予栓塞成功,另1例仍阴性,转外科手术。结论 DSA及介入治疗对PD术后出血具有诊断和治疗价值,微创且显效,值得临床推广应用。

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备注/Memo

备注/Memo:
(收稿日期:2018-04-17)
(本文编辑:边 佶)
更新日期/Last Update: 2019-03-20