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目的评价血管造影诊断和介入治疗消化道出血的疗效。方法62例消化道出血患者分别行腹腔动脉、肠系膜上、下动脉DSA造影检查。DSA表现有明确出血的采用栓塞治疗,不宜栓塞部位出血的行垂体后叶素灌注治疗。随访1-3个月。结果62例中43例血管有异常表现,表现为造影剂外溢征23例、新生肿瘤血管和肿瘤染色征3例、动脉瘤4例、血管畸形13例,检出阳性率为69.35%。43例中,栓塞治疗27例,有明确血管出血的23例、血管异常4例,完全止血率为96.30%。药物灌注治疗29例,血管异常药物灌注治疗16例,完全止血率为81.25%。无血管异常灌注血管加压素13例,完全止血率为84.62%。结论DSA对消化道出血的诊断具有较高价值;动脉栓塞或药灌注治疗出血性病变创伤小、安全、可靠。
Objective To evaluate the efficacy of angiography in diagnosis and interventional treatment of gastrointestinal bleeding. Methods Sixty-two patients with gastrointestinal bleeding underwent DSA angiography of the superior and inferior mesenteric artery. DSA manifestations of bleeding with a clear embolization treatment should not embolism bleeding pituitary vasopressin infusion therapy. Follow-up 1-3 months. Results Of the 62 cases, 43 cases showed abnormal blood vessels, showing 23 cases of contrast agent excretion, 3 cases of neovascular tumor and tumor staining, 4 cases of aneurysm and 13 cases of vascular malformation. The positive rate was 69.35%. Forty-three cases were treated with embolization in 27 cases. There were 23 cases with definite vascular hemorrhage, 4 cases with vascular abnormalities, and the complete hemostasis rate was 96.30%. Drug infusion therapy in 29 cases, vascular abnormal drug infusion therapy in 16 cases, the complete hemostasis rate was 81.25%. Vascular abnormalities in perfusion vasopressin in 13 cases, complete hemostasis rate was 84.62%. Conclusions DSA has high value in the diagnosis of gastrointestinal bleeding. Arterial embolization or drug infusion is less invasive, safe and reliable in the treatment of hemorrhagic lesions.