血管造影术

Objective To evaluate the efficacy of DSA-aided superselective embolization in hemostasis of e-mergency call artery bleeding.

目的 评价减影血管造影下超选择性栓塞术在急诊动脉出血紧急止血中的治疗效果。

We found that stenting after unsuccessful Merci retrieval resulted in a high rate ofangiographic success.

我们发现Merci取栓失败后行支架植入术可实现更高的血管造影成功率。

We found that stenting after unsuccessful Merci retrieal resulted in a high rate ofangiographic success.

我们发现Merci取栓失败后行支架植入术可实现更高的血管造影成功率。

The selective embolization of artery and glandular-cavernosal shunt are effective ways to treat high-flow and low-flow priapism respectively.

阴茎海绵体穿刺抽血行血气分析、海绵体彩色多普勒检查及选择性血管造影对阴茎异常勃起有诊断价值，选择性动脉栓塞和阴茎头分流术是治疗高血流量和低血流量异常勃起的可靠方法。

All cases were examined with retinoscope or retinography, fundus fluorescein angiography and optical coherence tomography pre- and postoperatively.

术前术后进行眼底检查、眼底照相、荧光素眼底血管造影（fundus fluorescein angiography ，FFA）以及光学相干断层成像术检查（optical coherence tomography， OCT），将各种检查结果进行比较及评价。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

Objective To investigate the feasibility of endoscopic nasal surgery for nasopharyngeal angiofibroma to avoid complications of routine surgeries.Methods Retrospective analysis was performed for six patients'clinical records from June2002to June2004.Endoscopic nasal surgery and other techniques such as CT,MRI,digital substract angiography,Controlled-hypotention anesthesia and preoperative feeding artery embolism had been used.Results No complication had occurred.

目的 避免常规手术的并发症，探讨经鼻内镜引导下鼻咽纤维血管瘤切除术的可行性方法回顾性分析从2002年6月～2004年6月收治的6例经鼻内镜手术治疗的鼻咽纤维血管瘤患者的临床资料，术均行CT或MRI检查，了解瘤体小及部位，行字减影血管造影了解瘤体血供，术前采用供血动脉栓塞，术中采用控制性低血压技术。

Methods A retrospective analysis was carried out in 245 cases with portal hypertension treated with PCDV or PSRS plus PCDV. The diameter, blood flow velocity and blood flow of portal vein, splenic vein and superior mesenteric vein were measured by magnetic resonance angiograph at 1 week preoperatively and at 2 week postoperatively.

回顾性总结近8年采用脾肾分流加门奇断流联合手术和门奇断流术治疗门静脉高压症245例，于术前一周和术后2周应用核磁共振血管造影测量门静脉、脾静脉和肠系膜上静脉的直径，流速和流量，并于术中动态测量门静脉压力。

Objective To evaluate the clinical significances of digital subtraction angiography in preoperation patients of hepatocellular carcinoma.

目的 评价数字减影血管造影对我国原发性肝癌术前的意义。

Results All17patients had reiteratively blood in stools.The longest medical history of these patients is of3years,the shortest is of2months.8cases showed symptoms of stomachaches;2cases showed symptoms of peritonitis.3cases resulted in positive tests in the radioactive scanning.Of the rest of the patients,1case showeda positive test in the selective arterial angiographies.Of the17patients,12recovered completely after the operation.And no recurrence was found in the following3～5years.5patients died of the recurrence of tumor and metastasis.

结果 17例均有反复次便血，病史最长3年，最短2月，8例伴有腹痛，2例伴有腹膜炎体征，3例伴有腹块。3例核素扫描检查均是阳性，4例选择性血管造影1例阳性。17例病员无1例术明确原发病，其中15例剖腹探查直接找到病因，2例术中结合内镜找到出血原因。17例中12例经手术治疗痊愈，随访3～5年无复发。5例死于肿瘤复发转移。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。