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目的评价DSA在不明原因消化道出血(OGIB)中的诊断与治疗价值。方法对我院14例胃、肠镜未发现出血病因的消化道出血患者行DSA检查,必要时行栓塞治疗。结果根据DSA检查结果及进一步的手术治疗明确出血病因和部位,14例中溃疡出血1例,肿瘤性出血5例,血管性出血6例,术后出血1例,空肠憩室并出血1例;3例出血部位在十二指肠,5例出血部位在空肠,6例出血部位在回肠,可靠诊断阳性率达85.71%(12/14)。其中5例通过血管栓塞治疗成功止血,成功率71.43%(5/7),其余均行手术治疗。结论 DSA对于OGIB具有重要的诊断及治疗价值。
Objective To evaluate the diagnostic and therapeutic value of DSA in the treatment of unexplained gastrointestinal bleeding (OGIB). Methods 14 cases of gastrointestinal bleeding in our hospital stomach and colonoscopy did not find the cause of gastrointestinal bleeding DSA examination, embolization treatment if necessary. Results According to the results of DSA and further surgical treatment, the etiology and site of hemorrhage were clarified. One case of ulcer bleeding, 5 cases of tumorous hemorrhage, 6 cases of vascular hemorrhage, 1 case of postoperative bleeding and 1 case of jejunal diverticulum and hemorrhage occurred in 14 cases. The bleeding sites were in the duodenum, 5 hemorrhage sites in the jejunum, and 6 hemorrhage sites in the ileum. The positive rate of reliable diagnosis was 85.71% (12/14). Among them, 5 cases achieved hemostasis by vascular embolization successfully, with a success rate of 71.43% (5/7). The rest were surgically treated. Conclusions DSA has important diagnostic and therapeutic value for OGIB.