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微线圈与聚乙烯醇颗粒在非静脉曲张性急性胃肠道出血选择性微导管血管栓塞中的比较

Comparison of microcoils and polyvinyl alcohol particles in selective microcatheter angioembolization of non variceal acute gastrointestinal hemorrhage.

作者信息

Idris Muhammad, Salam Basit, Akhtar Waseem, Jamil Yasir

机构信息

Dr. Tanveer-Ul-Haq, FRCR, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.

Dr. Muhammad Idris, FCPS, Department of Radiology, Aga Khan University Hospital, Stadium Road, 74800 Karachi, Pakistan.

出版信息

Pak J Med Sci. 2015 Jul-Aug;31(4):751-6. doi: 10.12669/pjms.314.7240.

DOI:10.12669/pjms.314.7240
PMID:26430397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4590394/
Abstract

OBJECTIVES

To compare the efficacy of polyvinyl alcohol (PVA) particles with microcoils in angiembolisation of non variceal acute gastrointestinal haemorrhage.

METHODS

This is a retrospective cross-sectional study of patients who underwent transcatheter angioembolization from January, 1995 to December, 2013 at Aga Khan University Hospital, Karachi. Patients were divided into two groups on basis of use of either microcoils or PVA particles and compared in terms of technical success, clinical success, re-bleeding and ischemic complication rates. Chi (χ(2)) square and Fisher's exact tests were applied and a P-value of less than 0.05 was considered statistically significant.

RESULTS

Fifty seven patients underwent angioembolization. Microcoil and PVA particles embolization was performed in 63% (36/57) and 35% (20/57) cases respectively. Technical success was achieved in all cases (100%). Clinical success rate was higher in microcoils group (92%) than PVA particles group (75%) with statistically significant P value (p=0.048). Ischemic complication was seen in one case (3%) in the microcoil group, while no such complications were seen in the PVA particles group.

CONCLUSION

In angioembolization of non variceal acute gastrointestinal haemorrhage microcoils are better than Polyvinyl alcohol particles with higher clinical success and lower re-bleed rates.

摘要

目的

比较聚乙烯醇（PVA）颗粒与微线圈在非静脉曲张性急性胃肠道出血血管栓塞中的疗效。

方法

这是一项回顾性横断面研究，研究对象为1995年1月至2013年12月在卡拉奇阿迦汗大学医院接受经导管血管栓塞术的患者。根据使用微线圈或PVA颗粒将患者分为两组，并在技术成功率、临床成功率、再出血率和缺血并发症发生率方面进行比较。应用卡方（χ(2)）检验和Fisher精确检验，P值小于0.05被认为具有统计学意义。

结果

57例患者接受了血管栓塞术。微线圈栓塞和PVA颗粒栓塞分别在63%（36/57）和35%（20/57）的病例中进行。所有病例均取得技术成功（100%）。微线圈组的临床成功率（92%）高于PVA颗粒组（75%），P值具有统计学意义（p = 0.048）。微线圈组有1例（3%）出现缺血并发症，而PVA颗粒组未出现此类并发症。

结论

在非静脉曲张性急性胃肠道出血的血管栓塞中，微线圈优于聚乙烯醇颗粒，临床成功率更高，再出血率更低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7e/4590394/636af64aa4ed/PJMS-31-751-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7e/4590394/df5a0f1f772b/PJMS-31-751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7e/4590394/636af64aa4ed/PJMS-31-751-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7e/4590394/df5a0f1f772b/PJMS-31-751-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d7e/4590394/636af64aa4ed/PJMS-31-751-g002.jpg

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Arterial interventions in gastrointestinal bleeding.胃肠道出血的动脉介入治疗
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Mesenteric embolization for lower gastrointestinal bleeding.
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