胆道大出血的介入造影诊断及栓塞治疗

目的：评价血管造影和栓塞对胆道大出血的诊断及治疗效果。方法８年间收治胆道大出血６例，均采用腹腔动脉和选择性肝右或左动脉造影，随即行肝动脉分支出血点近端栓塞。结果６例患者经这种方法治疗，出血立即停止。其中有一例患者由于再出血而行第２次栓塞，所有患者均存活，随访半年－５年无再出血，结论胆道大出血行选择性肝动脉主栓塞是安全有效的诊断及治疗方法，与手术比较，栓塞治疗具有显著优点。

TRANSCATHETER ANGIOGRAPHY AND EMBOLIZATION FOR MASSIVE HEMOBILIA

Objective To evaluate the effectiveness of angiography and embolization in diagnosis and treatment of massive hemobilia.Methods During 8 years,6 patients with massive hemobilia underwent emergency celiac and selective right or left hepatic artery angiography.All were treated by emoliztion of the hepatioatery bronch proximal to the bleeding point.Results Six patients were treated successfully by this method,hemorrhage was stopped immediately.One of them was embolized two times for bleeding again.All patients are alive and well at follow-up for 0.5-5 years.Conclusion Selective hepatic angiography and embolization for massive hemobilia is a safe and efficient diagnostic and therapeutic method.Embolization offers the obvious advantage with minimally invase .