出血疾病的成像:从计划到随访的直肠动脉栓塞导航
Jonathan Lindquist1, James Hart1, Katherine Marchak1
1Division of Vascular and Interventional Radiology, Department of Radiology, University of Colorado Anschutz Medical Center, Aurora, Colorado.
直肠动脉栓塞为严重病的传统手术提供了一种安全有效的替代方案,在手术后疼痛显著减少,结果可比. 这种微创治疗是寻求缓解耐火症状的患者的可行选择.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 病影响了超过三分之一的成年人,耐火病例传统上通过手术进行切除术来治疗.
- 手术切除术虽然有效,但与手术后显著的疼痛有关.
研究的目的:
- 评估直肠动脉栓塞作为治疗耐火性病的手术带切除术的最少侵入性的替代方案.
- 与手术结果和患者经验相比,评估栓塞的安全性和有效性.
主要方法:
- 选择性导管的上直肠动脉从下等介质动脉和中间直肠动脉从内动脉的上直肠动脉.
- 使用中间/大颗粒和有纤维/无纤维线圈进行栓塞.
- 低直肠动脉栓塞通常是避免由于其供给的levator ani肌肉和皮肤.
主要成果:
- 在最近的病例系列和临床试验中,直肠动脉栓塞已经证明了安全性和有效性.
- 与手术带切除术相比,栓塞可以显著减少手术后的疼痛.
- 栓塞的结果与手术带切除术的结果相似.
结论:
- 结直肠动脉栓塞是一种安全有效的治疗选择,用于耐火性病患者.
- 这种手术提供了一种不那么痛苦的替代手术切除术,具有相似的疗效.
- 进一步的研究可能会完善栓塞技术和患者选择.
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