剪贴辅助疗法与EUS导向线圈栓塞用于隔离胃静脉的二次预防:一个多中心研究
Huixian Li1,2, Wei Chen3, Wei Zhang4
1Key Laboratory of Digestive Diseases of Anhui Province, Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui Province, China.
Endoscopic ultrasound
|January 26, 2026
概括
内镜剪切和烯酸盐注射 (EC-CYA) 和EUS引导线圈和烯酸盐注射 (EUS-coil/CYA) 是安全的防止隔离的胃 I型 (IGV1) 重出血. EC-CYA提供了更好的便利性,而EUS-coil/CYA提供了更高的栓塞效率.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 肝病学 肝病学是一种肝病学.
背景情况:
- 由于I型隔离性胃 (IGV1) 的出血是一种罕见但危险的并发症.
- 对于有IGV1出血史的患者来说,二次预防非常重要.
研究的目的:
- 为了比较内镜剪切和烯酸盐注射 (EC-CYA) 与EUS引导线圈和烯酸盐注射 (EUS-coil/CYA) 的安全性和有效性,用于IGV1二次预防.
主要方法:
- 一项对131名患有IGV1出血史的肝硬化患者进行的回顾性研究.
- 患者接受了EC-CYA (n=55) 或EUS-coil/CYA (n=76) 的治疗.
- 主要结局:再出血和子宫外栓塞;次要结局:技术成功,消灭,不良事件和死亡率.
主要成果:
- 在EC-CYA和EUS-coil/CYA组之间,再出血率,技术成功,其他不良事件或死亡率没有显著差异.
- 在首次随访时,EC-CYA显示了更高的烯酸体积和水消灭率.
- 通过EUS-coil/CYA显示出优异的烯酸氨酸栓塞效率.
结论:
- 无论是EC-CYA还是EUS-coil/CYA都是安全有效的,可以预防IGV1的再出血.
- EUS-coil/CYA提供了更好的栓塞效率.
- EC-CYA与更大的操作便利性有关.
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