使用计算机断层扫描进行耐火性直肠水出血的管理
Devara Anil Kashi Vishnuvardhan1, Lavanya P1, Sandeep Botcha1
1MVP Medicover Hospitals, Visakhapatnam, Andhra Pradesh, India.
这项研究介绍了一种微侵袭的CT指导的皮肤通用N-丁烯酸 (NBCA) 粘合剂注射,用于耐火性直肠水出血. 该技术成功地阻止了其他治疗方法失败的患者的出血.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 直肠静脉瘤是来自门门高血压的端口系统附带担保.
- 来自直肠静脉的出血,虽然比食道静脉少见,但具有危及生命的风险.
- 耐火性直肠水出血的管理是一个重大的临床挑战.
研究的目的:
- 描述一种新的,最少的侵入性皮肤穿刺技术,用于管理耐火性直肠水出血.
- 在复杂的病例中,评估CT指导的皮肤穿N-丁烯酸 (NBCA) 粘合剂注射的疗效.
主要方法:
- 一名28岁的男性患有血凝和血,呈现出活跃出血的直肠静脉.
- 诊断工作包括西格莫显微镜和CT腹部血管造影,确认直肠静脉.
- 在内镜硬化疗法失败后进行了CT引导的皮肤NBCA粘合剂注射直肠静脉瘤.
主要成果:
- 通过CT指导的皮肤穿NBCA粘合剂注射,实现了直肠出血的立即和完全停止.
- 该程序在复杂的临床场景中成功执行,传统治疗失败了.
结论:
- 通过CT指导的皮肤内NBCA粘合剂注射是一种可行的和有效的最小侵入性选择,用于耐火性直肠水出血.
- 这种技术为患有耐治疗性直肠静脉瘤和门脉高血压的患者提供了一个有前途的替代方案.
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