肝动脉伪动脉瘤:三个病例报告和文献综述
Yuan-Quan Zhao1, Yong-Yu Yang1, Si-Yang Yao1
1Department of Hepatobiliary, Pancreas and Spleen Surgery, The People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, China.
Frontiers in medicine
|July 25, 2024
概括
肝动脉伪动脉瘤 (HAP) 是腹腔镜肝胆道手术后的一种罕见但严重的并发症. 通过血管造影早期诊断和成功的透导管动脉栓塞是患者康复的关键.
科学领域:
- 肝胆道手术 肝胆道手术
- 血管并发症 血管并发症
- 干预性放射学 干预性放射学
背景情况:
- 腹腔镜手术在肝胆道疾病中很常见.
- 肝动脉伪动脉瘤 (HAP) 是这些手术的罕见,可能致命的并发症.
- 不同的临床表现需要迅速识别和管理.
研究的目的:
- 在腹腔镜肝胆道手术后报告三个HAP病例.
- 突出 HAP 的诊断和治疗策略.
- 为分享管理这种罕见并发症的临床经验.
主要方法:
- 一系列病例报告了三名HAP患者.
- 通过数字减去血管学证实了诊断.
- 治疗涉及成功的跨导管动脉栓塞.
主要成果:
- 介绍了三起HAP病例,起源于胆病手术 (2) 和创伤 (1).
- 病例包括胆道出血 (T管或胃肠道).
- 所有患者都通过栓塞成功治疗,并取得了良好的结果.
结论:
- HAP是一种显著的,尽管很少见的,腹腔镜肝胆外科手术的并发症.
- 数字减去血管造影对于诊断至关重要.
- 通过导管动脉栓塞为HAP提供了一个成功的治疗选择.
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