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目的:评价西宁地区急性消化道溃疡出血行超选择性动脉造影栓塞的临床价值。方法:对24例急性消化道溃疡出血患者,先行腹腔动脉及肠系膜上下动脉造影,确定出血的部位及出血血管后,采用RH或Cobra导管超选择性插入出血靶血管,用明胶海绵颗粒、条块和带纤毛金属钢圈作为栓塞剂,栓塞后再次造影确诊有无活动性出血。结果:24例患者治愈21例(87.5%),显效3例(12.5%),总有效率100.0%。结论:对急性消化道溃疡出血的患者行超选择性腹腔动脉栓塞术疗效好、安全性高,值得向临床广泛推广。
Objective: To evaluate the clinical value of super selective arterial embolization in acute peptic ulcer hemorrhage in Xining area. Methods: Twenty-four patients with acute peptic ulcer hemorrhage underwent angiography of upper and lower celiac artery and superior mesenteric artery. After the site of hemorrhage and hemorrhage were determined, RH or Cobra catheter was used to insert hypervascularity of hemorrhage target vessel with gelatin sponge particles, And with ciliary metal rims as embolic agents, angiography again after embolization diagnosed with active bleeding. Results: Twenty-four patients were cured in 21 cases (87.5%), markedly effective in 3 cases (12.5%), and the total effective rate was 100.0%. Conclusion: Superselective celiac artery embolization is effective and safe in patients with acute peptic ulcer bleeding. It is worth to be widely popularized in clinic.