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目的 评价介入方法在消化道出血诊断和治疗中的应用价值。方法 急、慢性消化道出血患者 32例 ,其中肿瘤性病变 1 2例 ,血管源性病变 2 0例。 32例行DSA检查 ,2 7例行CT血管造影(CTA)和钡剂检查 ,其中 1 3例同时行DSA ,CTA和钡剂检查。共对 1 0例血管源性病变患者行介入栓塞治疗。结果 32例消化道出血病变在DSA检查中均清晰显示。DSA检查特别适用于肠道血管异常病变 ,结合CTA有利于提高肠道黏膜下病变诊断。 1 0例介入栓塞止血均 1 0 0 %成功 ,术后随访 6个月～ 2年 ,无并发症及复发。结论 超选择性DSA检查和CTA在消化道出血诊断中具有较高应用价值 ,对于消化道出血性病变 ,介入栓塞是一种有效、微创的治疗方法
Objective To evaluate the value of intervention in the diagnosis and treatment of gastrointestinal bleeding. Methods 32 patients with acute and chronic gastrointestinal bleeding, including 12 cases of neoplastic lesions, 20 cases of vascular lesions. Thirty-two patients underwent DSA and 27 patients underwent CT angiography (CTA) and barium examination. Thirty-three patients underwent DSA, CTA and barium simultaneously. A total of 10 cases of vascular lesions in patients with interventional embolization. Results 32 cases of gastrointestinal bleeding in the DSA examination are clearly shown. DSA examination is particularly suitable for abnormal intestinal vascular lesions, combined with CTA is conducive to improve the diagnosis of intestinal submucosal lesions. Totally 100 cases of successful hemostasis with embolization and embolization were followed up for 6 months to 2 years without complication and recurrence. Conclusions Superselective DSA and CTA have high value in the diagnosis of gastrointestinal hemorrhage. For the patients with gastrointestinal bleeding, interventional embolization is an effective and minimally invasive treatment