Application of emergency transcatheter arterial embolization on liver and spleen rupture
10.3760/cma.j.issn.1008-6706.2014.22.019
- VernacularTitle:急诊动脉介入栓塞术在肝脾破裂救治中的应用
- Author:
Jianke YANG
;
Ping JIN
;
Weiyin LOU
;
Defeng ZHANG
;
Jiantin ZHU
- Publication Type:Journal Article
- Keywords:
Liver rupture;
Splenic rupture;
Embolization,therapeutic
- From:
Chinese Journal of Primary Medicine and Pharmacy
2014;(22):3406-3407
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the value of emergency transcatheter arterial embolization in the treat-ment of liver and spleen rupture,in order to provide the reference for clinical therapeutic strategies.Methods In our hospital,58 patients with liver and spleen rupture were selected.Operation time,catheter angiography,embolization of success rate,postoperative survival rates and the postoperative complications were recorded.Then follow-up,patients with sequela of occurrence was recorded.Results Embolizations of 55 cases were successful,3 cases accounted for 94.8%,2 were successful, no embolization failed, the success rate of catheter angiography in the diagnosis was 100.0%.31 cases of arterial embolization for splenic artery,10 cases of hepatic artery,8 cases of right hepatic artery, 2 cases of left hepatic artery.The average operation time was (57.8 ±15.6) min.All the patients were successfully hemostatic,postoperative survival rate was 100.0%for patients.2 cases of postoperative biliary leakage,1 cases with splenic abscess,the incidence of postoperative complications was 5.2%.Recovery of all patients was good,without the occurrence of sequelae.Conclusion Rupture has good clinical efficacy of emergency transcatheter arterial emboliza-tion in treatment of liver and spleen,liver,spleen can be retained in the circumstances,the effective control of hemor-rhage,improve the clinical success rate.
