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目的浅谈经导管栓塞治疗急性消化道出血临床研究。方法随机选取2014年4月至2016年4月这两年间我院收治的78例急性消化道出血患者为临床研究的核心对象,对所有患者均应用经导管栓塞治疗措施,随访观察患者取得的临床疗效及术后再出血情况。结果经统计,本组78例患者中手术共成功74例,手术成功率高达94.87%(74/78);术后再出血患者有4例,再出血率为5.13%(4/78)。经统计分析发现,凝血功能障碍是再出血的主要影响因素,4例再次出血患者中的3例有凝血功能障碍,占比率75%(3/4);无凝血功能障碍患者占比率25%(1/4),对比统计学上的差异,明显有意义(P<0.05)。术后进行2个月的随访观察,绝大多数患者未发生腹膜炎、肠缺血、肠穿孔或坏死等恶性并发症,仅有4例患者术后腹部存在轻微疼痛,给予对症处理后,痛感消失。结论临床经导管栓塞治疗急性消化道出血的手术成功率高、疗效确切、安全性高、应用价值显著,值得临床进一步应用于此类患者的治疗。
Objective To discuss the clinical study of transcatheter embolization in the treatment of acute gastrointestinal bleeding. Methods A total of 78 patients with acute gastrointestinal bleeding admitted from April 2014 to April 2016 in our hospital from April 2014 to April 2016 were selected as the core subjects of clinical study. All patients were treated by catheter embolization. The patients were followed up for clinical Efficacy and postoperative bleeding. Results According to statistics, a total of 74 cases were successfully operated in this group of 78 patients. The success rate of operation was as high as 94.87% (74/78). There were 4 cases of rebleeding after operation and the rate of rebleeding was 5.13% (4/78). The statistical analysis showed that coagulation disorders were the main influencing factors of rebleeding. 3 of the 4 patients with rebleeding had coagulation dysfunction, accounting for 75% (3/4); those without coagulation dysfunction accounted for 25% ( 1/4), the difference was statistically significant (P <0.05). After 2 months of follow-up observation, the vast majority of patients without peritonitis, intestinal ischemia, intestinal perforation or necrosis and other malignant complications, only 4 patients had slight pain in the abdomen after giving symptomatic treatment, pain disappeared . Conclusions The clinical success rate of transcatheter embolization in the treatment of acute gastrointestinal bleeding is high, the curative effect is definite, the safety is high, and the application value is significant. It is worth further clinical application in the treatment of such patients.