胸腔管道栓塞用于治疗甲状腺切除术和部解剖后的胆泄漏
Sungmo Moon1, Juil Park1, Gyoung Min Kim2
1Department of Radiology, Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea.
Korean journal of radiology
|January 7, 2024
概括
甲状腺内淋巴管和胸管栓塞 (TDE) 提供了一种安全有效的微创性治疗甲状腺外科手术后液泄漏 (CL),显示出高的成功率.
科学领域:
- 血管和干预放射学 血管和干预放射学
- 手术瘤学手术瘤学
- 胸部外科手术 胸部外科手术
背景情况:
- 甲状腺泄漏 (CL) 是甲状腺手术后的潜在并发症,特别是在广泛的部剖析后.
- 以前的管理通常涉及保守措施或开放的外科干预,成功率各不相同.
- 寻求最少的侵入性技术来改善结果并减少与CL相关的发病率.
研究的目的:
- 评估结合胸腔道栓塞 (TDE) 的内节淋巴管学术的安全性和有效性,以管理甲状腺外科手术后的液泄漏 (CL).
- 评估这种微创方法的技术和临床成功率.
- 分析与手术相关的并发症.
主要方法:
- 在甲状腺手术后,对14名接受了内淋巴血管学和TDE治疗的CL患者进行了回顾性分析.
- 程序包括全甲状腺切除术与部解剖 (n=13) 或甲状腺切除术 (n=1).
- 收集的数据包括淋巴血管学发现,技术成功 (胸腔管道栓塞) 和临床成功 (CL的分辨率).
主要成果:
- 淋巴管学检查发现85.7%的患者在手术床附近有泄漏.
- 对于TDE的技术成功率为78.6% (11/14).
- 在技术上成功的TDE患者中,临床成功率为90.1% (10/11),排水中位移除时间为3天,随访期间没有复发.
结论:
- 内节淋巴血管学和TDE代表了甲状腺手术后质泄漏的安全有效的微创治疗方法.
- 该程序显示了可接受的技术和临床成功率.
- 这种技术提供了一种有价值的替代方案,用于传统的手术管理后甲状腺切除术胆泄漏.
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