"肝血管形患者的跨动脉栓塞与皮肤硬化疗法:系统性审查和元分析"
Mohammad Mehdi Mehrabi Nejad1, Jafar Golzarian2, Ramin Pourghorban3
1Department of Radiology, School of Medicine, Advanced Diagnostic and Interventional Radiology Research Center (ADIR), Imam Khomeini Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Journal of vascular and interventional radiology : JVIR
|February 15, 2026
概括
超动脉栓塞 (TAE) 和皮间硬化疗法 (PS) 在肝静脉形 (HVM) 中同样有效. 穿皮硬化疗法提供了优势,肝脏酶问题较少,住院时间较短,成本较低.
科学领域:
- 干预性放射学 干预性放射学
- 血管形症 血管形症
- 医疗器械技术 医疗器械技术
背景情况:
- 肝静脉形 (HVM) 是一种罕见的血管异常,需要有效治疗.
- 超动脉栓塞 (TAE) 和皮间硬化疗法 (PS) 是HVMs的常见干预程序.
研究的目的:
- 汇总和比较TAE和PS治疗HVM的疗效和安全概况.
- 为HVMs提供当前治疗结果的元分析概述.
主要方法:
- 在PubMed,Scopus和Web-of-Science数据库中进行了系统的文献搜索.
- 在R软件中使用随机效应模型的35项研究 (2,592名患者) 的元分析.
- 评估的结果包括病变体积,直径减少,临床反应率和不良事件.
主要成果:
- TAE和PS都显著减少了HVM体积和直径,它们之间没有显著差异.
- 临床反应率高且可比 (TAE: 86.3%,PS: 85.9%).
- 主要不良事件是相似的,但TAE显示出较高的肝酶升高,较长的住院时间,与PS相比成本增加.
结论:
- TAE和PS在治疗HVM方面表现出相似的疗效.
- PS与安全性和经济状况的改善有关,包括较少的肝酶乱,更短的住院时间和成本降低.
- 这些发现支持PS作为HVM管理的潜在首选选项.
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