Interventionaltreatmentofdelayedhemorrhageafterabdominalsurgery
10.3969/j.issn.1002-1671.2019.05.031
- VernacularTitle:腹部外科术后迟发性出血的介入治疗
- Author:
Peng ZUO
1
;
Qinquan ZU
;
Sheng LIU
;
Chungao ZHOU
;
Haibin SHI
Author Information
1. 南京医科大学附属淮安第一医院神经内科
- Keywords:
abdominalsurgery;
interventionaltreatment;
negativeangiography;
rebleeding;
delayedpostoperativehemorrhage
- From:
Journal of Practical Radiology
2019;35(5):811-814,832
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toevaluatetheclinicaleffectofinterventionaltreatmentfordelayedhemorrhageinpatientsafterabdominal surgery.Methods Dataof76patients,undergoingangiographyduetodelayedpostoperativehemorrhage,wereanalyzedretrospectively. Theexclusioncriteriaincludedpositiveangiographywithoutembolizationorhaemorrhagecausedbyothercauses(urologicaland reproductivesystemdiseases).Basedonendovascularprocedures,thepatientsweredividedintoembolizedgroup (positiveangiography withembolization)andnon-embolizedgroup(negativeangiographywithoutembolization).Theoutcomesoftreatmentwerecompared betweentwogroupsandfactorsassociatedwithrebleedingwerealsoanalyzed.Results Angiogramswerepositivein70% (53/76)of patients,andintravascularembolizationswereperformed.Intheembolizationgroup,technicalsuccessrateandclinicalsuccessrate were98.1%(52/53)and71.7%(38/53),respectively.Noseverecomplications,suchasgastrointestinalorhepaticischemicnecrosis wereobservedinallpatients.Therebleedingrateswere28.3%and52.2%intheembolizationgroupandthenon-embolizationgroup, respectively(P＝0.046).Multivariateanalysisshowedthatuseofvasopressoragentsbeforesurgerywasanindependentriskfactor forrebleeding (P＝0.022).Conclusion Intravascularinterventionaltherapyisasafeandeffectivemethodfordelayedhemorrhageafter abdominalsurgery.Useofvasopressoragentsbeforesurgerymayincreasetheriskofpostoperativerebleeding.
