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自发腹壁血瘤的管理:一篇叙述性综述,重点关注CTA阴性内血管病例
Erbil Arik1, Efe Soydemir1, Baris Yer1
1Department of Radiology, Faculty of Medicine, Marmara University, Istanbul, Turkey.
CVIR endovascular
|January 15, 2026
概括
自发腹壁血瘤 (AWH) 通过内血管栓塞有效治疗. 数字减去血管造影 (DSA) 对于诊断和治疗至关重要,特别是当计算机断层扫描血管造影 (CTA) 呈阴性结果时.
科学领域:
- 干预性放射学 干预性放射学
- 血管成像 血管成像
- 腹部成像 腹部成像 腹部成像
背景情况:
- 自发腹壁血瘤 (AWH) 呈现非特异性,经常模仿其他急性腹部疾病,导致诊断延迟.
- 计算机断层扫描血管造影 (CTA) 为检测活跃出血提供了高灵敏度,但微妙的动脉出血可能会产生假阴性结果.
- 治疗选择范围从保守的管理到内血管栓塞和手术.
研究的目的:
- 审查自发性AWH的临床表现,病理生理学和成像特征.
- 讨论AWH的内血管治疗选择,重点关注CTA阴性病例的程序方法.
- 要突出数字减去血管学 (DSA) 在诊断和治疗AWH时的作用,当CTA是不确定的.
主要方法:
- 在PubMed和谷歌学者进行了一项文学搜索,寻找用内血管栓塞治疗的自发性AWH.
- 综合了来自四个出版物的数据 (两个系统性审查,两个回顾性研究,460名患者).
- 总结了管理CTA阴性AWH的机构方法.
主要成果:
- 在所有研究中,内血管栓塞的技术和临床成功率都很高.
- 与CTA (47-82%) 相比,DSA (79-85%) 的出血检测率高于CTA (47-82%).
- 常用于栓塞的目标动脉包括腰椎,腰椎,腰椎,深腰环,以及深下腹膜动脉.
结论:
- 内血管栓塞是一种安全有效的自发性AWH治疗方法.
- DSA对于局部化和栓塞至关重要,特别是在CTA阴性病例中.
- 对CTA阴性AWH的逐步协议为干预放射科医生提供了一种实用的方法.
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