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首页> 美国卫生研究院文献>International Surgery >Interventional Therapy for the Treatment of Severe Hemobilia After Percutaneous Transhepatic Cholangial Drainage: A Case Series
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Interventional Therapy for the Treatment of Severe Hemobilia After Percutaneous Transhepatic Cholangial Drainage: A Case Series

机译：介入疗法治疗经皮肝穿刺胆管引流术后重症胆道炎的病例系列

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From May 2003 to May 2010, a total of 9 patients with severe hemobilia after percutaneous transhepatic cholangial drainage (PTCD) were diagnosed using superselective angiography and cholangiography, and then were treated with interventional procedures. Two patients with hepatic arterio-biliary fistula underwent proximal and distal arterial embolization of the responsible vessel. Six patients with pseudoaneurysm had pseudoaneurysm occlusion with proximal and distal embolization. Another patient with biliary-portal vein fistula received a biliary fully covered stent placement. The effects in these patients were evaluated using superselective angiography immediately after the intervention and at 3- and 6-month follow-up. In all patients, hemobilia was stopped right after the treatment and no sign of recurrence was noted at 3- and 6-month follow-up after the interventional therapy. Our findings demonstrate that interventional therapy is a simple, minimally invasive, and safe approach for treating severe hemobilia in patients receiving PTCD.
机译：2003年5月至2010年5月，共9例经超选择性血管造影和胆道造影诊断为经皮肝穿刺胆管引流（PTCD）的重度胆道疾病患者，然后进行介入治疗。两名肝动胆瘘患者接受了负责血管的近端和远端动脉栓塞术。 6例假性动脉瘤患者发生假性动脉瘤闭塞，近端和远端栓塞。另一位胆道-门静脉瘘患者接受了完全覆盖的胆道支架置入术。干预后以及在3个月和6个月的随访中立即使用超选择性血管造影术评估这些患者的疗效。在所有患者中，治疗后立即停止了胆道手术，介入治疗后3个月和6个月的随访中未发现复发迹象。我们的研究结果表明，介入治疗是一种简单，微创且安全的方法，可用于治疗接受PTCD的严重肝胆病。

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