[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()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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28
- 期数:
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2019年03期
- 页码:
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292-295
- 栏目:
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临床研究
- 出版日期:
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2019-03-25
文章信息/Info
- Title:
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Clinical application of interventional therapy for hemorrhage after pancreaticoduodenectomy
- 作者:
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方主亭; 唐 仪; 吴少杰; 周艳峰; 杨厚林; 陈良生
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- Author(s):
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FANG Zhuting; TANG Yi; WU Shaojie; ZHOU Yanfeng; YANG Houlin; CHEN Liangsheng.
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Department of Interventional Radiology, Fujian Provincial Hospital, Provincial Clinical Medical College of Fujian Medical University, Fuzhou, Fujian Province 350001, China
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- 关键词:
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【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:
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A
- 摘要:
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【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。
参考文献/References:
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备注/Memo
- 备注/Memo:
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(收稿日期:2018-04-17)
(本文编辑:边 佶)
更新日期/Last Update:
2019-03-20