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基于绝对乙醇的干预栓塞对外围动脉静脉形形的影响

Yanlin Wang¹, Dakan Liu¹, Li Xiao¹

¹Department of Hemangioma and Vascular Malformation, Zhengzhou University People's Hospital; Henan Provincial People's Hospital, Zhengzhou, China.

Biotechnology & genetic engineering reviews

|May 30, 2023

概括

绝对乙醇栓塞治疗外围动脉静脉形形 (PAVMs) 显示基于雅克斯分类的不同有效性. 第二种类型的PAVM对弹线圈和乙醇反应最好,而第三种类型和第四种类型的PAVM对组合疗法反应不那么理想.

科学领域:

干预性放射学干预性放射学
血管外科血管外科
医疗成像医学成像

背景情况:

绝对乙醇是外围动脉静脉形缺陷 (PAVM) 的常见栓塞剂.
治疗策略通常以PAVM分类系统为指导.
优化栓塞时间表对于有效的PAVM治疗至关重要.

研究的目的:

为了评估不同的干预栓塞方案的有效性,使用绝对乙醇对PAVMs.
为了确定血栓化结果是否与PAVM分类相关.
为了比较不同类型的PAVM不同类型的各种栓塞剂和组合的疗效.

主要方法:

一项对165名接受绝对乙醇栓塞治疗的PAVM患者的回顾性研究.
使用雅克斯系统 (II,III和IV类型) 分类PAVM.
血管图形脱细胞化被用来评估栓塞的有效性 (总体,近总体,实质性,部分,失败).

主要成果:

PAVMs主要是II型 (n=67),III型 (n=81) 和IV型 (n=17),其中大多数发生在面部区域.
在不同的雅克斯分类和治疗方法 (P<0.05) 中,观察到血管检查结果和失败率的显著差异.
与III型和IV型相比,II型PAVM在弹线圈和绝对乙醇方面表现更好.

结论:

根据雅克斯分类,PAVM的栓塞结果在很大程度上有所不同.
第二种类型的PAVM在弹线圈和绝对乙醇中获得最佳效果.
对III类和IV类PAVM的联合疗法,包括平阳素 + 化油 + PVA + 绝对乙醇和弹线圈 + 绝对乙醇,产生不太理想的结果,伤口并发症是最常见的.

关键词:

这是绝对的乙醇.这种影响的效果是什么?干预性栓塞是干预性栓塞.周围动脉静脉形形

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