[1]刘佳韵,阚雪锋,张桂林,等.经导管动脉美蓝造影在下消化道动脉出血定位中的临床应用 [J].介入放射学杂志,2023,32(12):1230-1232.
 LIU Jiayun,KAN Xuefeng,ZHANG Guilin,et al.Clinical application of transcatheter arterial methylene blue angiography in the localization of lower gastrointestinal arterial bleeding[J].journal interventional radiology,2023,32(12):1230-1232.
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经导管动脉美蓝造影在下消化道动脉出血定位中的临床应用
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年12
页码:
1230-1232
栏目:
临床研究
出版日期:
2024-01-02

文章信息/Info

Title:
Clinical application of transcatheter arterial methylene blue angiography in the localization of lower gastrointestinal arterial bleeding
作者:
刘佳韵 阚雪锋 张桂林 黎欣怡 熊 付 钱 坤 郑传胜
Author(s):
LIU Jiayun KAN Xuefeng ZHANG Guilin LI Xinyi XIONG Fu QIAN Kun ZHENG Chuansheng.
Department of Radiology, Affiliated Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province 430022, China
关键词:
【关键词】 下消化道动脉出血 经导管 美蓝注射液 动脉造影 定位
文献标志码:
A
摘要:
【摘要】 目的 评估经导管动脉美蓝造影在下消化道动脉出血定位中的临床应用价值。方法 10例下消化道动脉出血患者行介入腹腔动脉造影,发现出血责任动脉后,将微导管超选置于出血责任动脉内,在外科术中经微导管注入美蓝注射液显示出血段肠管,为切除出血段肠管提供精准定位。结果 经导管动脉美蓝造影可清晰显示出血段肠管,10例患者的出血段肠管得到快速精准切除治疗,术后患者消化道出血停止,且无手术相关并发症发生。结论 经导管动脉美蓝造影可精准发现下消化道动脉出血段肠管,为外科手术快速切除出血段肠管提供精准定位,值得临床广泛推广应用。

参考文献/References:

[1] Sengupta N, Feuerstein JD, Jairath V, et al. Management of patients with acute lower gastrointestinal bleeding: an updated ACG guideline[J]. Am J Gastroenterol, 2023, 118: 208- 231.
[2] Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology[J]. Gut, 2019, 68: 776- 789.
[3] Lau JYW, Yu YY, Tang RSY, et al. Timing of endoscopy for acute upper gastrointestinal bleeding[J]. N Engl J Med, 2020, 382: 1299- 1308.
[4] Karuppasamy K, Kapoor BS, Fidelman N, et al. ACR appro-priateness criteria?誖radiologic management of lower gastrointestinal tract bleeding:2021 update[J]. J Am Coll Radiol, 2021, 18: S139- S152.
[5] Guglielmo FF, Wells ML, Bruining DH, et al. Gastrointestinal bleeding at CT angiography and CT enterography: imaging Atlas and glossary of terms[J]. Radiographics, 2021, 41: 1632- 1656.
[6] Triantafyllou K, Gkolfakis P, Gralnek IM, et al. Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy(ESGE) guideline[J]. Endoscopy, 2021, 53: 850- 868.
[7] Hawks MK, Svarverud JE. Acute lower gastrointestinal bleeding: evaluation and management[J]. Am Fam Physician, 2020, 101: 206- 212.
[8] Boros E, Sipos Z, Hegyi P, et al. Prophylactic transcatheter arterial embolization reduces rebleeding in non- variceal upper gastrointestinal bleeding: a meta- analysis[J]. World J Gastroenterol, 2021, 27: 6985- 6999.
[9] 吴 斌,周 全,李建清,等. 胃左动脉和胃十二指肠动脉栓塞治疗DSA阴性上消化道出血患者17例[J]. 介入放射学杂志, 2018, 27:1148- 1150.
[10] Aoki T, Hirata Y, Yamada A, et al. Initial management for acute lower gastrointestinal bleeding[J]. World J Gastroenterol, 2019, 25: 69- 84.
[11] Greco L, Zhang J, Ross H. Surgical options and approaches for lower gastrointestinal bleeding: when do we operate and what do we do?[J]. Clin Colon Rectal Surg, 2020, 33: 10- 15.
[12] Chu S, Wei N, Lu D, et al. Comparative study of the effect of preoperative hookwire and methylene blue localization techniques on post- operative hospital stay and complications in thoracoscopic pulmonary nodule surgery[J]. BMC Pulm Med, 2022, 22: 336.
[13] Soebhi T, Yarso KY, Sobri F, et al. Methylene blue absorption in sentinel lymph node biopsy for early breast cancer after neoadjuvant chemotherapy[J]. Asian Pac J Cancer Prev, 2020, 21: 1767- 1771.
[14] 单立梅,翟 荣,吴泽宇,等. 术前CT引导下氰基丙烯酸酯联合亚甲蓝定位肺小结节的临床应用[J]. 中国临床研究, 2022,35:503- 506, 511.
[15] 曾今子,姜大庆. ICG荧光显像+亚甲蓝染色法对乳腺癌前哨淋巴结检出率的影响[J]. 医学理论与实践, 2023, 36:1202- 1204.

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备注/Memo

备注/Memo:
(收稿日期:2023- 06- 26)
(本文编辑:茹 实)

更新日期/Last Update: 2024-01-02