胆道大出血的造影诊断及介入栓塞治疗

目的 评估血管造影和肝动脉栓塞术对胆道大出血的诊断及治疗价值。方法 回顾性分析从1993年3月至2001年7月8例胆道大出血的临床资料，所有病人急行肝动脉造影并采用明胶海绵和微钢圈进行肝动脉栓塞治疗。结果 有2例病人由于再出血再行第2次栓塞，所有病人均存活，随访2个月至7年无再出血。结论 B超选择性肝动脉造影及栓塞作为一种安全、可靠、微创的手段，为胆道大出血提供了重要的诊断及治疗依据，且比手术具有显著优良性，应作为首选。

Angiographic diagnosis and interventional embolization for massive hemobilia

Objective To determine the value of hepatic artery angiography and embolization in diagnosis and treatment of massive hemobilia. Methods The clinical data of 8 cases of massive hemobilia treated in our hospital from March 1993 to July 2001 were retrospectively analyzed. All the patients underwent emergency hepatic artery angiography and were treated by embolization using Gelfoam particles and Gelfoam particles plus microcoils. Results Two out of the 8 patients received embolization twice due to bleeding again. All the 8 patients survived and were followed up for 2 months to 7 years. Conclusions As a safe, reliable and minimally invasive method, hepatic artery angiogarphy and embolization is an important diagnostic and therapeutic means for massive hemobilia. Furthermore, it has more advantages than operation. Thus it should be of first choice for patients with massive hemobilia.