通过导管进行动脉栓塞治疗的结肠分垂出血:结果和复出血的危险因素
Ryoichi Kitamura1, Wataru Higashiura2, Morihiro Katsura3
1Department of Radiology, Okinawa Prefectural Chubu Hospital, Okinawa, Japan.
跨动脉栓塞 (TAE) 是有效的转节出血,显著降低复出血率,特别是在右结肠病例. 这种安全的程序为患有这种疾病的患者提供了有价值的治疗选择.
科学领域:
- 胃肠病学
- 干预性放射学
- 血管外科
背景情况:
- 结肠分管出血是下胃肠道出血的常见原因.
- 对比增强计算机断层扫描 (CECT) 对于识别活跃的出血部位至关重要.
- 跨动脉栓塞 (TAE) 是一种已知动脉出血的内血管治疗方法.
研究的目的:
- 评估转动脉栓塞 (TAE) 患者的结果.
- 为了确定与TAE后结肠分管出血相关的因素.
- 评估TAE在治疗这种疾病中的安全性和有效性.
主要方法:
- 在接受血管造影的CECT确诊的活跃分支出血患者中进行了单中心的回顾性研究.
- 收集的数据包括人口统计,栓塞细节和临床结果 (再出血,缺血事件,死亡率).
- 进行了单变量分析以确定影响复出率的因素.
主要成果:
- 在132名患者中,67%接受了TAE,其中72%的血管图证实了活跃出血.
- 在所有患者中,复出出血发生在12%,在接受TAE治疗的患者中显著降低 (3.4%),而非TAE患者 (30%).
- 右侧结肠出血的复出率比左侧出血高 (16%) (2.6%),而TAE显著减少了右侧出血 (3.0%对46%).
结论:
- 跨动脉栓塞 (TAE) 是对结肠分管出血的一种安全有效的治疗方法.
- 与保守治疗相比,TAE显著降低了复出率.
- 在控制右侧结肠分管出血方面,TAE似乎特别有益,减少了复发.
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