动脉栓塞用于内部管理:系统性审查
Mohammad Hossein Golezar1, Hamed Ghorani1,2, Fakhroddin Alemi1,3
1Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Medical Imaging Center Tehran University of Medical Sciences Tehran Iran.
Health science reports
|January 8, 2026
概括
血管内动脉栓塞是对症状性的有效治疗方法,显示出良好的临床结果,并发症最小. 这种微创手术改善了生活质量,并减少了患有这种常见直肠疾病的患者的出血.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 是全球最常见的良性直肠疾病,影响高达11%的人口.
- 症状包括疼痛,出血和不适,但经常被低诊断和管理不善.
- 血管内动脉栓塞为管理提供了一种新的治疗方法.
研究的目的:
- 系统地审查血管内动脉栓塞治疗的疗效.
- 评估与此干预程序相关的临床结果和发病率.
- 评估栓塞对患者生活质量和症状复发的影响.
主要方法:
- 在PubMed,Scopus,Web of Science和Embase进行了全面的文献搜索,截至2022年8月.
- 包括的研究经过严格的数据提取和使用PRISMA 2020检查清单进行质量评估.
- 两位独立审稿人对研究进行了选,不包括评论,非英语文章和案例报告.
主要成果:
- 包括15项研究,涉及年龄在40.5-72.2岁之间的患者,其中大多数是男性 (57.89%).
- 在424名患者中进行了上方直肠动脉栓塞,主要使用线圈或微线圈.
- 在大多数研究中都没有报告重大并发症或死亡;常见的不良事件包括疼痛,紧张和出血. 需要重新栓塞或手术的症状复发发生在11.79%的患者中.
结论:
- 直肠动脉栓塞是一种新且有效的治疗内部的方法,具有良好的临床疗效.
- 该程序与最小的重大并发症有关,并导致改善生活质量得分.
- 栓塞有效降低出血分数,为管理提供了一个有希望的替代方案.
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