超选择性跨动脉栓塞使用伊米佩涅姆/基拉斯塔丁用于抗保守管理的足底筋炎
Neeraj Kumar1, Niraj Nirmal Pandey1, Sanjeev Kumar1
1Department of Cardiovascular Radiology & Endovascular Interventions, All India Institute of Medical Sciences, New Delhi-110029, India.
Journal of vascular and interventional radiology : JVIR
|January 29, 2026
概括
超选择性跨动脉栓塞 (TAE) 使用伊米佩涅姆/西拉斯他丁有效地减少了患有不耐火的足底筋炎 (PF) 的患者的疼痛. 这种微创手术在12个月内显著和持续缓解疼痛.
科学领域:
- 干预性放射学 干预性放射学
- 血管干预 血管干预
- 肌肉骨成像系统的成像
背景情况:
- 脚部带炎 (PF) 是一个常见的部疼痛的原因,通常耐受保守治疗.
- 持续的PF可以显著影响生活质量.
- 对于耐火病例,需要使用新的最小侵入性技术.
研究的目的:
- 评估超选择性跨动脉栓塞 (TAE) 对于脚膜炎的可行性,安全性和有效性.
- 评估使用伊米佩内姆/西拉斯酸盐作为PF的栓塞剂.
- 为了确定长期减轻疼痛和临床成功率.
主要方法:
- 对12名耐火性PF患者的回顾性分析.
- 后动脉 (PTA) 支部的超选择性栓塞,这些支部供应于脚部带起源的高血管区域.
- 栓塞剂:阿米皮内姆/西拉斯酸悬浮剂.
- 使用视觉模拟尺度 (VAS) 进行疼痛评估,在手术前和手术后,长达12个月.
主要成果:
- 技术成功率为91.7%,在目标PTA分支机构的吸血中取得成功.
- 在手术后一天显著降低VAS得分 (2.27对7.36,p<0.0001),持续到12个月.
- 在72.73%的患者中获得了临床成功 (6个月后≥50%的VAS减少),持续在12个月后.
结论:
- 超选择性TAE与伊米佩内姆/西拉斯酸盐是一种可行且安全的治疗耐火的足底筋炎.
- 该程序提供显著和持久的疼痛缓解.
- 这种技术对患有复发性PF的患者具有较低的不良事件风险.
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