CAJ | 학술논문

目的：评价超选择性动脉栓塞治疗下消化道出血的有效性及安全性。方法于2010-08-2013-08对18例下消化道出血的患者行超选择性动脉栓塞治疗，介入栓塞材料包括微弹簧圈、聚醋酸乙烯（ PVA）颗粒和明胶海绵碎粒。术后观察有无血便，每日进行便常规以及大便隐血试验检查，动态监测血红蛋白变化。所有患者共行选择性动脉造影29次，超选择性动脉栓塞18次。结果超选择性动脉栓塞中，单纯弹簧圈栓塞15例，联用弹簧圈和明胶海绵碎粒3例，均未再复发出血，无肠坏死等并发症。结论超选择性动脉栓塞治疗下消化道出血是安全、有效的，但应注意栓塞材料的选择和栓塞范围。
목적：평개초선택성동맥전새치료하소화도출혈적유효성급안전성。방법우2010-08-2013-08대18례하소화도출혈적환자행초선택성동맥전새치료，개입전새재료포괄미탄황권、취작산을희（ PVA）과립화명효해면쇄립。술후관찰유무혈편，매일진행편상규이급대편은혈시험검사，동태감측혈홍단백변화。소유환자공행선택성동맥조영29차，초선택성동맥전새18차。결과초선택성동맥전새중，단순탄황권전새15례，련용탄황권화명효해면쇄립3례，균미재복발출혈，무장배사등병발증。결론초선택성동맥전새치료하소화도출혈시안전、유효적，단응주의전새재료적선택화전새범위。
Objective To evaluate the efficacy and the safety of super -selective trans -arterial embolization for lower gastrointestinal haemor-rhage.Methods From Aug 2010 to Aug 2013 , interventional radiology treatments were performed on 18 cases of lower gastrointestinal hemor-rhage.Hemoglobin , stool routine and occult blood test were performed every day after operation until discharge.The embolic agents included microcoils, polyvinyl acetate ( PVA ) particals and gelfoam .Twenty -nine sessions of selective angiography and 18 sessions of super -selective trans-arterial embolization were performed on 18 patients.Results Coils were used in 15 cases, coils combined with PVA particals and gel-foam in 3 cases.Haemorrhage was ceased in all cases after interventional radiology treatment , and no severe complications occurred , such as haemorrhage and intestinal nercosis.Conclusion Super -selective trans-arterial embolization can be safely and effectively performed on the cases of lower gastrointestinal hemorrhage , however , the choices of em-bolic agents and embolic zone we make should be more cautious to ensure the safety.