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动脉造影及超选择栓塞治疗闭合性肝脾外伤
引用本文:孙志岭,章锡龄,顾建平,顾苏岳,徐正,路瑶. 动脉造影及超选择栓塞治疗闭合性肝脾外伤[J]. 中国综合临床, 2004, 20(8): 709-710
作者姓名:孙志岭  章锡龄  顾建平  顾苏岳  徐正  路瑶
作者单位:1. 210006,南京,南京医科大学附属南京第一医院急诊中心
2. 210006,南京,南京医科大学附属南京第一医院介入放射科
摘    要:目的 探讨动脉造影诊断及超选择栓塞止血治疗闭合性肝、脾外伤的价值。方法 对 15例确诊或可疑闭合性肝、脾外伤患者采用改良Seldinger法进行动脉造影诊断及确诊后用明胶海绵或弹簧圈超选择栓塞止血治疗 ,观察术后疗效。结果  15例均得以确诊并一次栓塞止血成功 ,术后恢复顺利 ,半年以上随访无特殊变化。结论 动脉造影诊断及超选择栓塞止血治疗闭合性肝、脾外伤安全、有效 ,病情恢复快 ,具有较高的临床应用价值。

关 键 词:肝损伤  闭合性  脾损伤  闭合性  动脉造影  栓塞
文章编号:1008-6315(2004)08-0709-02
修稿时间:2004-01-30

Angiography of artery and superselective endovascular embolization in treatment of closed hepatic or splenic injuries
Sun Zhiling,Zhang Xiling,Gu Jianping,et al.. Angiography of artery and superselective endovascular embolization in treatment of closed hepatic or splenic injuries[J]. Clinical Medicine of China, 2004, 20(8): 709-710
Authors:Sun Zhiling  Zhang Xiling  Gu Jianping  et al.
Affiliation:210006 Nanjing
Abstract:Objective To evaluate the clinical value of angiographic diagnosis and superselective endovascular embolization for treating closed hepatic or splenic injuries.Methods 15 cases diagnosed or suspected by angiographic diagnosis as closed hepatic or splenic injuries were treated by superselective endovascular embolization with absorbable gelfoam or spring coil,which clinical therapeutic effect was observed.Results 15 cases were all confirmed and underwent successful embolization,who then recovered smoothly.No significant change occurred within a half year follow up.Conclusion Angiography and superselective endovascular embolization are safe and effective in treating closed hepatic or splenic injuries,with highly clinical value.
Keywords:Hepatic injuries  closed  Splenic injuries  closed  Angiography of artery  Embolization
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