肠道内注射lauromacrogol泡硬化疗法用于直肠洞腔血管瘤:一个病例报告
Ling Chen1, FengYu Chen2, Tong Jiang1
1Department of Gastroenterology, Digestive Disease Hospital, The Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou Province, China.
Medicine
|July 12, 2024
概括
使用lauromacrogol的内镜泡硬化疗法是一种安全有效的治疗直肠洞腔血管瘤. 这种微创的方法可以消除出血症状,并显著减少血管瘤的大小,并迅速恢复.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 直肠洞腔血瘤是一种罕见的良性血管瘤,经常被误诊,并呈现出下胃肠道出血.
- 存在手术选择,但存在风险;对于胃肠道血管瘤,最好采用微创手术,但研究不足.
研究的目的:
- 评估内镜泡硬化疗法的疗效和安全性,用于患有直肠洞腔血管瘤的患者.
- 为了探索治疗这种罕见疾病的手术的最小入侵替代方案.
主要方法:
- 一名60岁的男性患有复发性血,接受了诊断性结肠镜检查,MRI和CT检查,确认了直肠洞腔血管瘤.
- 患者选择了内镜泡硬化疗法,使用lauromacrogol注射,而不是手术.
主要成果:
- 经过硬化疗法后,患者的血液缩症在没有不良事件的情况下消失.
- 两个月后的随访成像显示,血管瘤几乎完全消失,这表明结果令人满意.
结论:
- 内镜劳罗马克罗戈尔泡注射是一种安全,有效和最少侵入性治疗胃肠道洞穴性血管瘤的方法.
- 这种技术为那些不是手术候选人或更喜欢不太侵入性选择的患者提供了可行的替代方案.
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