[1]罗春生,贾一平,杨 巍,等.超选择动脉栓塞术治疗痔病3例初探[J].介入放射学杂志,2016,(12):1089-1093.
LUO Chun- sheng,JIA Yi- ping,YANG Wei,et al.Super- selective arterial embolizationfor the treatment of hemorrhoids: initial results in 3 cases[J].journal interventional radiology,2016,(12):1089-1093.
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超选择动脉栓塞术治疗痔病3例初探 ()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2016年12期
- 页码:
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1089-1093
- 栏目:
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临床研究
- 出版日期:
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2016-12-25
文章信息/Info
- Title:
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Super- selective arterial embolizationfor the treatment of hemorrhoids: initial results in 3 cases
- 作者:
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罗春生; 贾一平; 杨 巍; 殷 响; 汪庆明; 茅爱武
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- Author(s):
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LUO Chun- sheng; JIA Yi- ping; YANG Wei; YIN Xiang; WANG Qing- ming; MAO Ai- wu
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Medical Imaging Center, Affiliated Tongren Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200051,China
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- 关键词:
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【关键词】 痔病; 血管内介入栓塞术; 直肠上动脉; 无水乙醇
- 文献标志码:
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A
- 摘要:
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【摘要】 目的 评估无水乙醇超选择性动脉栓塞术治疗慢性疑难痔病出血、脱出的可行性和临床效果。方法 超细导管超选择至直肠上动脉末梢,各分支染色密集处分别注入0.5~2.5 ml无水乙醇。结果3例患者手术技术均获成功。术后随访6~10个月,无出血和脱出症状,电子肛门镜下痔核基本萎缩或消失,患者均临床痊愈。结论 无水乙醇超选择性动脉栓塞术治疗慢性痔病微创、失血量少、安全有效,为临床上一般情况差、不能耐受手术或反复手术不能再行常规手术的危重痔病患者,提供了一种治疗选择和解决办法。
参考文献/References:
[1] Buntzen S, Christensen P, Khalid A, et al. Diagnosis and treatment of haemorrhoids[J]. Dan Med J, 2013, 60: B4754.
[2] 田振国, 陈 平. 中国成人常见肛肠疾病流行病学调查[M]. 武汉: 武汉大学出版社, 2015: 60- 61.
[3] Vogelzang RL. 无水乙醇在血管畸形治疗中的应用[J]. 中国口腔颌面外科杂志, 2007, 5: 323- 626.
[4] 梁文龙, 曹 杰, 杨 平, 等. 血管内皮生长因子受体2在痔黏膜中的分布特征及临床意义[J]. 实用医学杂志, 2015, 31: 2830- 2832.
[5] 史兆岐. 消痔灵四步注射法治疗Ⅲ、Ⅳ期痔——闭塞直肠上动脉分支和痔硬化消失法[J]. 中国中西医结合杂志, 1998, 18: 201- 203.
[6] 姚礼庆, 唐 竞, 孙益红, 等. 经吻合器治疗重度痔的临床应用价值(附36例报告)[J]. 中国实用外科杂志, 2001, 21: 288- 289.
[7] 高显华, 傅传刚, Nabieu PF. PPH术后复发与皮赘残留: 应注意区分两者[J]. 中国实用外科杂志, 2009, 29: 1012- 1017.
[8] Morinaga K, Hasuda K, Ikeda T. A novel therapy for internal hemorrhoids: ligation of the hemorrhoidal artery with a newly devised instrument(Moricorn) in conjunction with a Doppler flowmeter[J]. Am J Gastroenterol, 1995, 90: 610- 613.
[9] Galkin EV. Interventional radiology of chronic hemorrhoids[J]. Vestn Rentgenol Radiol, 1994, 4: 52- 56.
[10] Galkin EV, Iavisia AM, Vdovenko PA. Interventional radiology for chronic hemorrhoids complicated by hemorrhage[J]. Vestn Rentgenol Radiol, 1998, 5: 21- 24.
[11] Galkin E. X- ray endovascular embolization of the superior rectal artery: new potentialities in the surgical management of chronic hemorrhoids[J]. Vestn Rentgenol Radiol, 2001, 6: 44-49.
[12] Tarazov PG. Arterial embolization of hemorrhoids[J]. Cardiovasc Intervent Radiol, 2015, 38: 1055.
[13] Vidal V, Sapoval M, Pellerin O. Arterial embolization of hemorrhoids: reply[J]. Cardiovasc Intervent Radiol, 2015, 38: 1056.
[14] Vidal V, Louis G, Bartoli JM, et al. Embolization of the hemorrhoidal arteries(the emborrhoid technique): a new concept and challenge for interventional radiology[J]. Diagn Interv Imaging, 2014, 95: 307- 315.
[15] Vidal V, Sapoval M, Sielezneff Y, et al. Emborrhoid: a new concept for the treatment of hemorrhoids with arterial embolization: the first 14 cases[J]. Cardiovasc Intervent Radiol, 2015, 38: 72- 78.
[16] Infantino A, Altomare DF, Bottini C, et al. Prospective randomized multicentre study comparing stapler haemorrhoidopexy with Doppler- guided transanal haemorrhoid dearterialization for third- degree haemorrhoids[J]. Colorectal Dis, 2012, 14: 205- 211.
[17] 张陈平, 张志愿. 乙醇加明胶海绵经动脉栓塞治疗颌面部蔓状血管瘤[J]. 中华口腔医学杂志, 1998, 33: 79- 81.
备注/Memo
- 备注/Memo:
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(收稿日期:2016-06-03)
(本文编辑:边 佶)
更新日期/Last Update:
2016-12-15