[1]陈峰,陈石伟,乔德林,等.弹簧圈栓塞治疗门静脉高压性肠道造瘘口出血及疗效分析[J].介入放射学杂志,2010,(11):862-864.
　CHEN Feng,CHEN Shi-wei,QIAO De-lin,et al.Interventional embolization with coils for the treatment of surgical stoma bleeding caused by portal hypertension: a therapeutic analysis[J].journal interventional radiology,2010,(11):862-864.
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弹簧圈栓塞治疗门静脉高压性肠道造瘘口出血及疗效分析()

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

卷:
期数:
2010年11期
页码:
862-864
栏目:
血管介入
出版日期:
2010-11-25

文章信息/Info

Title:
Interventional embolization with coils for the treatment of surgical stoma bleeding caused by portal hypertension: a therapeutic analysis
作者:
陈峰; 陈石伟; 乔德林; 唐震
750004  宁夏医科大学；上海公利医院肿瘤科；上海公利医院放射科
Author(s):
CHEN Feng;  CHEN Shi-wei;  QIAO De-lin;  TANG Zhen
Ningxia Medical University, Yinchuan, Ningxia Province 750004, China
关键词:
栓塞治疗;  门静脉高压;  造瘘;  出血;  弹簧圈
分类号:
Ｒ５７５.２
文献标志码:
A
摘要:
目的评估弹簧圈栓塞治疗门静脉高压性肠道造瘘口出血的可行性及安全性。方法２００８年２月－２０１０年５月，上海公利医院共收治８例门静脉高压性肠道造瘘口出血患者，其中直肠癌术后４例、乙状结肠癌术后３例、降结肠癌术后１例。所有患者术前均经ＣＴＡ血管重建检查，经血管造影证实。治疗方法均为经皮穿肝经门静脉至迂曲扩张肠系膜静脉，置入弹簧钢圈栓塞迂曲扩张静脉，同时联合脾栓塞。术后随访２个月至２年，依据ＣＴ增强扫描、彩色多普勒超声检查、术后止血率及复发率评估临床疗效。结果所有８例皆１次栓塞成功，均获满意止血，术后无严重并发症。术后１周行增强ＣＴ检查，弹簧圈位置均良好，未见曲张静脉增强显影。术后２周彩色多普勒超声检查曲张静脉团内未见血流。本组患者随访期间均未出现造瘘口再出血。结论经皮肝穿经门静脉栓塞曲张静脉治疗门静脉高压性肠道造瘘口出血安全、有效，值得临床推广。

参考文献/References:

[1] 陈 洁. 消化道出血的诊断和治疗[J]. Evid Based Pediatr, 2008, 3: 90 - 92.
[2] Garcia-Tsao G. Portal hypertension[J]. Curr Opin Gastroenterol, 2006, 22: 254 - 262.
[3] Simon EG, Joseph AJ, George B, et al. Aetiology of paediatric portal hypertension-experience of a tertiary care centre in South India[J]. Trop Doct, 2009, 39: 42 - 44.
[4] Smith MM. Emergency: Variceal hemorrhage from esophageal varices associated with alcoholic liver disease[J]. Am J Nurs, 2010, 110: 32 - 41.
[5] Seo GJ, Park JW, Yoo SB, et al. Intestinal complications after palliative treatment for asymptomatic patients with unresectable stage IV colorectal cancer[J]. J Surg Oncol, 2010, 102: 94 - 99.
[6] Ito K, Koike S, Shimizu A. Portal venous system: evaluation with unenhanced MR angiography with a single-breath-hold ECG-synchronized 3D half-Fourier fast spin-echo sequence[J]. AJR, 2008, 191: 550 - 554.

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备注/Memo

备注/Memo:
收稿日期：２０１００７０１
更新日期/Last Update: 2010-11-25