急性消化道出血介入治疗近期疗效分析

目的探讨经导管超选择性出血动脉栓塞治疗的临床价值。方法消化道出血27例，25例用明胶海绵或钢圈超选择性栓塞治疗，其中2例内窥镜指导下相应出血动脉栓塞；2例动脉内灌注垂体后叶素。结果25例栓塞后出血停止，其中1例栓塞治疗后6个月后再出血；2例灌注后1例出血停止，1例再出血。所有被栓塞病人均未出现严重并发症，其中1例栓塞后腹痛，内窥镜检查提示肠管局部缺血性表现，保守治疗后症状消失。结论消化道出血的栓塞治疗是安全和有效的。在内窥镜已明确出血部位，实施相应供血动脉的栓塞也是有效可行的方法。

Outcome Assessment of Transcatheter Embolotherapy for Gastrointestinal Hemorrhage

Objective To evaluate the transcatheter superselective embolotherapy of gastrointestinal hemorrhage. Methods Twenty five patients with gastrointestinal hemorrhage underwent superselective embolization in Twenty seven, two of them by endoscopy.The other two underwent vasopressin infusion. Results Twenty five bleeding patients ceased after embolization, one of them rebleeding six month later, one of the two patients for vasopressin infusion rebleeding. All patients had no major complications except for one patient with abdominal pain, which endoscopy revealed bowel ischemia and symposm resolved with conservative treatment. Conclusions Arterial embolotherapy for gastrointestinal hemorrhage is safe and effective. When bleeding site is confLrmed by endoscopy, corresponding artery embolotherapy is an acceptable option.