多检测器计算机断层扫描血管学在非的上部胃肠道出血:什么时候,为什么和如何?
Alberto Martino1, Marco Di Serafino2, Francesco Manguso1
1Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli, Italy.
Expert review of gastroenterology & hepatology
|November 26, 2025
概括
多检测器排列计算机断层扫描血管学 (MDCTA) 显示出作为诊断非的上胃肠道出血 (NVUGIB) 的辅助工具的希望,特别是在严重或罕见的情况下. 需要进一步的研究,以确定其与食道胃管腺镜术一起发挥的作用.
科学领域:
- 胃肠病学 胃肠病学
- 放射学 放射学是一门学科.
- 医疗成像医学成像
背景情况:
- 非的上部胃肠道出血 (NVUGIB) 是一个频繁的紧急情况,患病率和死亡率高.
- 消化管胃管腺镜 (EGD) 是NVUGIB的主要诊断和治疗方法.
- 多检测器行计算断层扫描血管学 (MDCTA) 在NVUGIB诊断中发挥着有限的作用,尽管指导方针正在发展.
研究的目的:
- 审查MDCTA在NVUGIB诊断中的当前和潜在的指示.
- 讨论NVUGIB的MDCTA的技术方面.
- 评估MDCTA作为EGD的辅助机构的作用.
主要方法:
- 在PubMed,EMBASE和谷歌学者中进行全面的文献搜索.
- 审查重点关注到2025年5月发表的研究.
- 在NVUGIB中分析MDCTA的诊断实用性.
主要成果:
- MDCTA是NVUGIB的一个有前途的辅助诊断工具.
- 在临床严重的NVUGIB病例中,MDCTA特别有用.
- MDCTA可能有助于从罕见的非源诊断NVUGIB.
结论:
- 虽然EGD是标准,但MDCTA显示出作为补充诊断模式的潜力.
- 目前支持NVUGIB中MDCTA的证据有限.
- 需要进行进一步的研究,以充分阐明MDCTA在NVUGIB管理中的作用.
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