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诱导性介肠血管造影用于隐藏的胃肠道出血:一个系统的审查
Siddhi Hegde1, Patrick D Sutphin2, Omar Zurkiya2
1Division of Interventional Radiology, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA. siddhi.hegde5@gmail.com.
挑性介肠血管学有助于诊断不清楚的胃肠道出血 (GIB). 虽然有效,但需要进一步的高层次研究来确认其安全性和在临床实践中最佳使用.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
背景情况:
- 隐性胃肠道出血 (GIB) 为临床医生带来了诊断和治疗方面的挑战.
- 精确的定位对于有效管理GIB至关重要.
研究的目的:
- 在诊断和定位隐性GIB时,系统地审查挑性介质血管造影 (PMA) 的实用性.
- 根据现有的文献来评估PMA的疗效和安全性.
主要方法:
- 在PubMed和Embase上进行了系统的文献搜索,直到2023年1月1日.
- 包括的研究集中在接受PMA用于隐性GIB诊断的患者身上.
- 分析了涉及230名患者的27篇文章.
主要成果:
- 挑性血管造影的整体阳性率为48.7%.
- 与血栓抑制剂 (46.7%) 相比,氨酸的使用显示出更高的阳性率 (58%).
- 干预程序包括栓塞 (46.4%) 和手术 (37.5%),并发症罕见.
结论:
- 挑性介质血管造影 (PMA) 显示出潜力作为一种诊断和治疗工具隐藏的GIB.
- 进一步的高层证据和标准化协议对于确定PMA的安全性和优化其应用至关重要.
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