经导管肝动脉α-氰基丙烯酸正丁酯胶栓塞治疗肝内出血.pdf

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1、中国介入影像与治疗学2014年第11卷第9期ChinJIntervImagingTher，2014，Vol11，No9·569·TranscatheterhepaticarteryembolizationwithN-butylcyanoacrylateintreatmentofhepaticarterialbleedingXIEPing，LGang，CHENGMei—xiong，ZHANGTian(DepartmentofRadiology。SichuanAcademyofMedicalScience&Sichua

2、nProvincialPeople'sHospital，Chengdu610072，China)[-Abstract]ObjectiveToexplorethevalueoftranscatheterhepaticarteryembolizationwithN—butylcyanoacrylate(NB—CA)intreatmentofhepaticarterybleeding．MethodsTranscatheterhepaticarteryembolizationwasperformedin7pa—tients

3、withhepaticarterialbleedingtakenNBCAasembolicagent．Thetechnicalsuccessrate，clinicaleffectiverateandprocedure—relatedcomplicationswereevaluated．ResultsAngiographyshowedpseudoaneurysmin6casesandextravasa—tionofcontrastin1case．Hepaticarteryembolizationwassuccessf

4、ullyperformedinallthe7patientswiththemixtureofNBCAandlipiodolof(O．76士0．24)m1．Immediatelyafterembolization。thesignofpseudoaneurysmandextravasationofcontrastdisappeared，andthetechnicalSUCCESSratewas100．Afterembolization，bellyacherelieved，andhemoglobinlevelincrea

5、sed，elinicaleffectiveratewasof100．Noseriouscomplicationsrelatedtoembolizationprocedureoccurred。whilenorecurrentbleedingwasobservedduring1monthfollowing—up．ConclusionTranscatheterhepaticarteryemboliza—tionwithNBCAissafeandeffectiveintreatmentofhepaticbleeding，h

6、avingimportantclinicalapplicationvalue．[-Keywords]Hemorrhage；Liver；N—butylcyanoacrylate；Embolization，therapeutic经导管肝动脉I)‘一氰基丙烯酸正丁酯胶栓塞治疗肝内出血谢坪，李刚，程美雄，张天，(四川省医学科学院四川省人民医院放射科，四川成都610072)[摘要]目的探讨以旷氰基丙烯酸正丁酯胶(NBCA)作为栓塞剂经导管肝动脉栓塞治疗肝内出血的价值。方法收集接受经导管肝动脉栓塞治疗的肝动脉出血患者7例，均使

7、用NBCA作为栓塞剂，评价技术成功率、临床有效率及相关并发症。结果造影显示假性动脉瘤6例，对比剂外溢1例。对7例患者均成功施行经导管肝动脉栓塞术，术后即刻造影假性动脉瘤和对比剂外溢征象消失，技术成功率100；NBCA及超液化碘油混合剂用量为(O．76士0．24)ml；术后患者腹痛症状缓解，血红蛋白浓度升高，临床有效率100。未发生手术相关并发症，随访1个月无再出血病例。结论采用NBCA胶行经导管肝动脉栓塞治疗肝内出血安全有效，具有重要临床应用价值。[关键词]出血；肝；氰基丙烯酸正丁酯胶；栓塞，治疗性[中图分类号]R

8、543．5；R815[文献标识码]A[文章编号]1672—8475(2014)09—0569—04肝动脉出血危及生命，迅速、有效止血是获得良好出血的重要方法[2]。本研究对7例肝动脉出血患者转归的关键Ⅲ。经导管肝动脉栓塞术是控制急性动脉采用a一氰基丙烯酸正丁酯胶(N-butylcyanoacrylate，NBCA)作为栓塞剂行经导管肝动脉栓塞术，效果较好，现