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[胃出血患者血管内栓塞治疗结果的形态学方面]

[Morphologic aspects of the results of intravascular embolization of patients with gastric hemorrhages].

作者信息

Sapozhnikova M A, Losev Iu A, Pakhomova G V

出版信息

Arkh Patol. 1980;42(4):43-50.

PMID:6967306
Abstract

The paper describes morphological alterations of 15 stomachs after endovascular embolization of the gastric artery performed for gastric hemorrhages of different etiology. Introduction of hemostatic sponge into the gastric artery results in thrombosis of its lumen followed by organization and recanalization of the thrombus. Elements of the hemostatic sponge do not resolve 1 1/2 months after introduction but do not prevent thrombus formation. Complications of embolization include the development of acute ulcers and necrotic foci in the gastric wall the extent of which depends on the development of network of intraorgan anastomoses. Complications of embolization may be prevented depending on the rate of its performance and previous alterations of the arterial walls. Epithelization of chronic gastric ulcers after embolization of the gastric artery proceeds rather slowly.

摘要

本文描述了对不同病因所致胃出血行胃动脉血管内栓塞术后15个胃的形态学改变。将止血海绵引入胃动脉会导致其管腔血栓形成,随后血栓机化再通。止血海绵成分在引入后1个半月未溶解,但不影响血栓形成。栓塞并发症包括胃壁急性溃疡和坏死灶的形成,其范围取决于器官内吻合支网络的发展情况。根据栓塞操作的速度和动脉壁先前的改变情况,栓塞并发症是可以预防的。胃动脉栓塞术后慢性胃溃疡的上皮化进展相当缓慢。

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