[1]甘 振,陈 涛,冯玉明,等.经导管动脉栓塞术治疗腹部外科术后迟发性出血[J].介入放射学杂志,2020,29(09):934-938.
 GAN Zhen,CHEN Tao,FENG Yuming,et al.Transcatheter arterial embolization for the treatment of delayed hemorrhage after abdominal surgery[J].journal interventional radiology,2020,29(09):934-938.
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经导管动脉栓塞术治疗腹部外科术后迟发性出血()

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

卷:
29
期数:
2020年09
页码:
934-938
栏目:
临床研究
出版日期:
2020-09-25

文章信息/Info

Title:
Transcatheter arterial embolization for the treatment of delayed hemorrhage after abdominal surgery
作者:
甘 振 陈 涛 冯玉明 管 敬 周 良
Author(s):
GAN Zhen CHEN Tao FENG Yuming GUAN Jing ZHOU Liang.
Department of Interventional Radiology, Second Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province 210011, China
关键词:
【关键词】 出血 血管造影 经导管动脉栓塞术
文献标志码:
A
摘要:
【摘要】 目的 评价经导管动脉栓塞术(TAE)治疗腹部外科术后迟发性出血的临床应用价值。方法 回顾性分析2010年5月至2019年6月采用TAE诊断治疗的腹部外科术后迟发性出血患者23例。术中动脉造影明确出血责任动脉,对动脉主干出血予以弹簧圈栓塞动脉远段和近段,对动脉末梢出血予以明胶海绵颗粒或明胶海绵颗粒联合弹簧圈栓塞。术后随访至患者治愈出院或院内死亡。结果 23例患者中造影表现阳性22例,阴性1例,阳性率为95.7%。阳性患者中动脉假性动脉瘤形成8例,动脉破裂伴对比剂外溢14例。所有阳性患者均接受进一步TAE治疗,术后治愈17例,死亡3例,复发2例,临床有效率为86.4%。术后1例死于肝衰竭,2例死于多脏器衰竭,2例复发患者再次TAE治疗后治愈出院,所有患者均未发生胃肠坏死和胃肠穿孔等栓塞并发症。结论 动脉造影结合TAE诊断腹部外科术后迟发性出血阳性率高,治疗效果确切,可作为首选方法。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-07-08)
(本文编辑:边 佶)
更新日期/Last Update: 2020-09-15