| 朱结辉,游箭,牟伟,李强.选择性动脉造影对不明原因消化道出血的诊断价值[J].中国医学影像技术,2003,19(3):298~300 |
| 选择性动脉造影对不明原因消化道出血的诊断价值 |
| Selective Angiography in Diagnosis of Gastrointestinal Hemorrhage |
| 投稿时间：2002-09-25 |
| DOI： |
| 中文关键词: 动脉造影 消化道出血 诊断 |
| 英文关键词:Angiography Gastrointestinal hemorrhage Diagnosis |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨选择性动脉造影对不明原因消化道出血的诊断价值。方法 回顾性分析55例不明原因消化道出血患者的血管造影结果。结果 本组检出阳性率为63.64%;选择性动脉造影出血活动期检出阳性率明显高于出血间歇期,两者有显著性差异(P<0.01);以病理结果为对照,本组定位诊断率为80.64%,定性诊断率为64.52%;本组无明显并发症,也无死亡病例。结论 为了明确消化道出血原因,急性大出血时选择性动脉造影是首选方法;慢性间断少量出血时,如果常规无创检查方法皆为阴性,行选择性动脉造影也是必要的。 |
| 英文摘要: |
| Objective To evaluate the diagnostic value of selective angiography for unknown reason gastrointestinal hemorrhage. Methods The arteriographic data of 55 patients with gastrointestinal hemorrhage were retrospectively studied. Results The positivity rate of diagnosis by selective angiography was 63.64%;the detectivity rate of bleeding in active stage was higher than that of in resting stage on angiography of patients with digestive tract hemorrhage (P<0.01). When the findings of pathology were regard as criteria, the accuracy of localization was 80.64% and the coincidence rate with pathology was 64.52%; serious complications were not found in this group. Conclusion In order to detect the reasons of gastrointestinal hemorrhage, selective angiography is the first method in examining patients with acute gastrointestinal hemorrhage, selective angiography can provide a positive diagnosis for a number of patients with chronic gastrointestinal hemorrhage of obscure origin in whom all other diagnostic measures have been unrevealing. |
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