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慢性胰腺炎中内脏动脉伪动脉瘤的危险因素:回顾性分析
Utpal Anand1, Sitaram Yadav2, Rohith Kodali3
1Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Patna, India.
Turkish journal of surgery
|August 11, 2025
概括
在慢性胰腺炎 (CP) 中,诸如伪动脉瘤 (PSA) 等血管并发症很常见. 滥用酒精和伪囊增加PSA风险,而化可能具有保护作用.
科学领域:
- 胃肠病学 胃肠病学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 慢性胰腺炎 (CP) 导致持续的疼痛和器官功能障碍.
- 血管并发症,特别是伪动脉瘤 (PSA),是CP患者的重大风险.
- 胃肠道出血发生在5-10%的CP病例中,通常与PSA有关.
研究的目的:
- 为了确定慢性胰腺炎中血管并发症的患病率.
- 确定与CP中伪动脉瘤发育相关的风险因素.
- 评估CP的血管并发症的管理策略和结果.
主要方法:
- 86名CP患者的回顾性观察研究 (2018年4月 - 2023年12月).
- 收集的数据包括人口统计,风险因素 (吸烟,酒精) 和M-ANNHEIM标准诊断.
- 用对比度增强的计算机断层扫描 (CECT) 用于诊断和病因评估.
主要成果:
- 在12.79%的患者中发现了伪动脉瘤 (PSA).
- 滥用酒精,男性性,吸烟,伪囊的形成,以及没有化与PSA有关.
- 多变量分析确定了滥用酒精,伪囊和庞大的胰腺头作为PSA的独立预测因素.
结论:
- 滥用酒精,伪囊和炎性头部质量独立地与CP的动脉PSA有关.
- 帕伦基马化可能对抗PSA形成起着保护作用.
- 血管内线圈是一种有效的PSA治疗方法,可以预防出血.
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