[一个直肠静脉病例与复发性肝脑病变成功通过皮肤栓塞治疗]
Shohei Amioka1, Kohei Fukumoto1, Yasuhide Mitsumoto1
1Department of Gastroenterology and Hepatology, Saiseikai Suita Hospital.
概括
本案例研究表明,通过皮肤栓塞在患有初级胆道胆道炎的患者中有效治疗直肠水出血,防止进一步出血和肝脏脑病变.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 原发性胆道胆道炎可能导致诸如肝脏脑病变等并发症.
- 直肠静脉是导致血的潜在原因,特别是在肝病患者中.
- 复发性肝脑病变带来了重大管理挑战.
研究的目的:
- 在患有初级胆道胆炎的患者中报告直肠静脉的成功皮肤穿栓塞.
- 证明栓塞在控制直肠水出血和预防肝脏脑病变复发方面的有效性.
- 为了突出一种替代性治疗直肠静脉,当保守措施失败时.
主要方法:
- 用对比增强的腹部计算机断层扫描 (CT) 进行诊断.
- 结肠镜检查以确认直肠静脉 (Rb).
- 上方直肠静脉的穿皮栓塞.
主要成果:
- 成功封闭直肠静脉和食血管.
- 在栓塞后显著减少直肠水的大小和颜色变化.
- 在直肠静脉变形和下半腹静脉中血栓形成中,对比度增强的消失.
- 截止直肠水出血,并且肝脏脑病不复发.
结论:
- 穿皮栓塞是一种可行的,有效的治疗直肠水出血.
- 这种干预可以预防复发性出血和相关并发症,如肝脏脑病变.
- 栓塞为管理复杂的直肠静脉瘤病例提供了一种最少的侵入性选择.
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