摘要对10例肝胆胰术后出血患者进行介入治疗,其中9例行超选择动脉栓塞,栓塞材料为明胶海绵颗粒剂6例、弹簧圈3例,栓塞的同时动脉灌注立止血2～4 kU；1例仅局部行动脉灌注立止血4 kU.选择性血管造影显示,单纯假性动脉瘤形成3例,造影剂外溢6例,未发现明显出血部位1例.介入治疗手术均顺利完成,术后出血停止,随访1个月无再出血.超选择血管栓塞治疗肝胆胰术后出血安全、有效,仅灌注立止血也可以取得良好效果.

abstractsInterventional management was performed in 10 patients with hemorrhage following hepatic biliary and pancreatic surgery.The super-selection arterial embolization was performed in 9 patients using gelfoam pledgets (n =6 ) or metal coils (n =3 ),the procedure was combined with local infusion of reptilase; 1 case was managed by local infusion of reptilase alone.Selective angiography revealed the pseudoaneurysm in 3 cases,contrast media extravasation in 6 cases; in 1 case no obvious bleeding site was found The interventional treatment was successful and hemorrhage stopped in all patients,including one case with reptilase alone with a successful rate of 10/10.The results indicate that interventional treatment is a safe and effective method for hemorrhage following hepatic biliary and pancreatic surgery.