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目的评价经导管动脉栓塞术治疗动脉性上消化道出血的临床疗效。方法回顾性分析58例上消化道出血患者的临床资料。对58例动脉性上消化道出血患者行动脉造影,发现出血征象时超选择插管造影,并根据不同出血原因和出血部位采用不同栓塞材料进行栓塞。随访1~3个月,并观察疗效。结果 58例患者中,50例动脉造影表现为对比剂外溢、假性动脉瘤、血管畸形等,栓塞治疗止血有效率为94.00%(47/50),栓塞后再出血率为4.26%(2/47),未见严重并发症。结论经导管动脉栓塞术治疗动脉性上消化道出血安全、有效,具有较高临床应用价值。
Objective To evaluate the clinical efficacy of transcatheter arterial embolization in the treatment of arterial upper gastrointestinal bleeding. Methods Retrospective analysis of 58 cases of upper gastrointestinal bleeding in patients with clinical data. 58 patients with arterial upper gastrointestinal bleeding arterial angiography, found signs of bleeding when ultra-selective catheterization, and according to different bleeding causes and bleeding sites embolization with different embolic material. Follow-up 1 to 3 months, and observe the effect. Results Among the 58 patients, 50 cases of contrast-enhanced arterial angiography showed contrast-induced spills, pseudo-aneurysms and vascular malformations. The effective rate of hemostasis was 94.00% (47/50) and the rate of rebleeding after embolization was 4.26% (2 / 47), no serious complications. Conclusion Transcatheter arterial embolization for the treatment of arterial upper gastrointestinal bleeding is safe and effective, and has a high clinical value.