术前计算机断层扫描血管学引导的透导管动脉栓塞治疗食道癌出血:一个案例系列研究
Xue-Jiao Yang1, Yong-Juan Wu2, Jing-Zhong Wang2
1Department of Respiratory and Critical Care Medicine, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, China.
Frontiers in oncology
|October 23, 2025
概括
计算机断层扫描血管造影 (CTA) 引导的透导管动脉栓塞 (TAE) 有效地阻止食道癌症出血. 这种微创手术在患上上部胃肠道瘤出血的患者中显示出高的成功率和可控的并发症.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 内镜对于上部胃肠道瘤出血是有限的.
- 食道癌症可能导致大量出血.
研究的目的:
- 评估计算机断层扫描血管造影 (CTA) 引导的透气管动脉栓塞 (TAE) 对于食道癌出血.
- 评估CTA引导的TAE在实现血液静止方面的有效性和安全性.
主要方法:
- 八名患有食道癌症出血的患者的回顾性病例系列.
- 进行了手术前的CTA引导的TAE.
- 评估了技术和临床成功.
主要成果:
- 在8名患者中,有7名患者通过CTA引导的TAE获得了技术和临床成功.
- 并发症包括轻微的不适;一名患者因错过的伪动脉瘤而死亡.
- 在5名患者中发生了复发性出血,导致4人死亡.
结论:
- 以CTA为指导的TAE是控制食道癌出血的成功方法.
- 该程序具有很高的技术和临床成功率.
- 并发症通常是轻微的和可控的.
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