评估剪贴在内镜下标记在上胃肠道出血患者的意义,内镜血静失败的患者
Alternative therapies in health and medicine
|November 9, 2023
概括
在内镜检查期间使用片标记可改善上部胃肠道出血 (UGIB) 患者的预后,这些患者对初始治疗没有反应. 这种综合方法增强了栓塞成功并减少了复发,提供了更安全,更有效的治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 内視鏡外科手術 內視鏡外科手術
背景情况:
- 上部胃肠道出血 (UGIB) 带来了重大的临床挑战,特别是当初始内镜血静无效时.
- 过导管动脉栓塞 (TAE) 是一种替代方案,但如果没有精确的向,其疗效可能会受到限制.
研究的目的:
- 评估结合内镜片标记与TAE用于管理UGIB的疗效和安全性.
- 为了比较标准TAE和片辅助TAE之间的结果.
主要方法:
- 63名UGIB患者的队列被随机分为对照组 (TAE) 和组合组 (内镜片辅助TAE).
- 关键的结果措施包括栓塞成功,临床成功,复发率,手术时间,辐射暴露和炎症标志物 (hs-CRP,Cor,NE,TNF-α,IL-6,ADH).
主要成果:
- 组合组的成功栓塞率和临床成功率显著更高 (P < .05).
- 复发率和炎症标志物在组合组中明显较低 (P < .05).
- 综合方法导致操作时间缩短,辐射暴露减少,辐射剂量降低 (P < .05),并没有增加并发症.
结论:
- 内镜片标记在耐火性UGIB病例中作为TAE的宝贵指南.
- 这种补充剂提高了UGIB管理的数字减去血管造影 (DSA) 和TAE程序的临床疗效和安全性.
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