气球阻塞逆向透静脉消毒对于十二指甲:一个回顾性观察性研究
Masanori Ozaki1,2, Atsushi Jogo3, Akira Yamamoto2
1Department of Diagnostic and Interventional Radiology, Graduate School of Medicine, Osaka City University, 1-4-3 Asahi-machi, Abeno-ku, Osaka-city, Osaka, 545-8585, Japan.
The British journal of radiology
|March 6, 2026
概括
气球遮蔽逆向透静脉消灭 (BRTO) 对于十二指球静脉是有效的,显示出高的成功率和存活率. 预防性BRTO可以预防破裂并改善患者的预后.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 十二指肠静脉瘤具有显著的出血风险.
- 十二指肠静脉的有效治疗选择对于患者的治疗结果至关重要.
研究的目的:
- 评估气球遮逆向透静脉消灭 (BRTO) 治疗十二指的疗效和安全性.
- 为了评估长期的结果,包括生存率和复发率,在十二指肠静脉的BRTO之后.
主要方法:
- 对22名接受双胞胎 varices BRTO 的患者的回顾性审查 (2001年1月 - 2020年9月).
- 分析患者特征,水解剖,BRTO技术成功,临床结果和并发症.
- 在BRTO后的无出血生存率,无复发生存率和整体生存率的评估.
主要成果:
- 在77.3%的病例中取得了技术上的成功;在预防 (87.5%) 和紧急 (50.0%) 设置中更高.
- 在成功BRTO后6个月和12个月100%的无出血和无复发的生存率.
- 在6个月和12个月的总生存率为86.7%,但在破裂的情况下显著下降 (p=0.0002).
- 并发症包括炎恶化 (29.4%) 和门静脉血栓形成 (5.9%).
结论:
- BRTO是一种安全有效的治疗十二指肠静脉,特别是作为预防措施.
- 预防性BRTO可能有助于预防破裂,并改善十二指肠静脉瘤患者的长期预后.
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