[1]李 智,胡 波,金泳海,等.超选择靶血管栓塞治疗腹盆部自发性出血[J].介入放射学杂志,2021,30(01):48-51.
LI Zhi,HU Bo,JIN Yonghai,et al.Super-selective target artery embolization for the treatment of abdominopelvic spontaneous hemorrhage[J].journal interventional radiology,2021,30(01):48-51.
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超选择靶血管栓塞治疗腹盆部自发性出血()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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30
- 期数:
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2021年01
- 页码:
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48-51
- 栏目:
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临床研究
- 出版日期:
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2021-01-25
文章信息/Info
- Title:
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Super-selective target artery embolization for the treatment of abdominopelvic spontaneous hemorrhage
- 作者:
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李 智; 胡 波; 金泳海; 倪才方
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- Author(s):
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LI Zhi; HU Bo; JIN Yonghai; NI Caifang.
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Department of Interventional Radiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
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- 文献标志码:
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A
- 摘要:
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【摘要】 目的 探讨超选择性靶血管栓塞治疗腹盆部自发性出血的临床价值。方法 回顾性分析2016年1月至2018年12月苏州大学附属第一医院诊治的10例腹盆部自发性出血患者临床资料。所有患者均接受介入造影和超选择栓塞治疗,术前CT检查9例,加增强CT扫描5例。以技术成功率和临床
有效率评价介入治疗效果,以介入相关并发症评价安全性。 结果 超选择靶动脉栓塞术成功率为80%(8/10),临床有效率77.8%(7/9)。9例术前CT检查中,5例见哨兵血块征,1例见红细胞压积征;5例平扫+增强CT扫描中,4例见对比剂外溢征,与DSA血管造影出血部位吻合。术后30 d内死亡2例,8例随访2~27个月,无介入治疗相关并发症,无再发出血。 结论 超选择靶血管栓塞是治疗腹盆部自发性出血的安全有效的方法。增强CT有助于诊断和寻找出血部位。
【关键词】 自发性出血; 超选择性栓塞; 数字减影血管造影术; 对比剂外溢
参考文献/References:
[1] 崔航天,李 伟,徐 俊, 等. 腹腔自发出血诊治分析(附10例报告)[J]. 外科理论与实践, 2016, 21:532- 534.
[2] 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, 28:292- 295.
[3] Burke M, O’donnell C. Postmortem computed tomography findings in ruptured splenic artery aneurysm: value of the clinical “sentinel clot”sign in identification of bleeding location[J]. Am J Forensic Med Pathol, 2015, 36: 224- 226.
[4] Federle MP, Pan KT, Pealer KM. CT criteria for differentiating abdominal hemorrhage: anticoagulation or aortic aneurysm rupture?[J]. AJR Am J Roentgenol, 2007, 188:1324- 1330.
[5] Hamadeh S, Addas B, Hamadeh N, et al. Spontaneous intrape-ritoneal hemorrhage in the third trimester of pregnancy: clinical suspicion made the difference[J]. J Obstet Gynaecol Res, 2018, 44: 161- 164.
[6] Ulubay M. Spontaneous retroperitoneal hematoma associated with combined warfarin and ticlopidine use[J]. Urol Case Rep, 2019, 22: 34- 36.
[7] Engelbart JM, Zepeski A, Galet C, et al. Safety and effectiveness of Factor Eight Inhibitor Bypassing Activity for direct oral anticoagulant- related hemorrhage reversal[J]. Am J Emerg Med, 2019, 37:214- 219.
备注/Memo
- 备注/Memo:
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(收稿日期:2019- 09- 17)
(本文编辑:边 佶)
更新日期/Last Update:
2021-01-25