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[直肠上动脉超选择性栓塞治疗痔的初步临床研究]

[Preliminavy clinical study of the treatment of hemorrhoids by superselective embolization of superior rectal artery].

作者信息

Luo C S, Jia Y P, Mao A W, Yang W

机构信息

Department of Colorectal Surgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2017 Jul 4;97(25):1960-1963. doi: 10.3760/cma.j.issn.0376-2491.2017.25.009.

Abstract

To investigate the safety and feasibility of the treatment of hemorrhoids by superselective arterial embolization. The clinical data of 15 patients with grade Ⅱ to Ⅳ hemorrhoids were collected who were treated by superselective SRA embolization.According to the number and shape of SRA in the vicinity of the dentate line, chosed coils, PVA particles and gelfoam particles, ethanol and bletilla mixture of gelfoam particles for embolization.And intraoperative operations, postoperative complications, follow-up treatment results were observed. The interventional procedures were successfully accomplished in all 15 cases.The operation time was (30±14) min, and the hospital stay was 1-7 (2.0±1.8) days after operation, and the patients recovered to normal life in 12 hours after the operation.Tenesmus (14/15), pain (5/15) and low fever (11/15) can alleviate without special treatment. All patients were follow up (19.0±2.6) months, bleeding symptoms were cured, there's no serious complications. The treatment of hemorrhoids by transcatheter superselective embolization of superior rectal artery is technically safe and feasible.

摘要

探讨超选择性动脉栓塞治疗痔疮的安全性及可行性。收集15例Ⅱ~Ⅳ度痔疮患者经超选择性直肠上动脉(SRA)栓塞治疗的临床资料。根据齿状线附近SRA的数量及形态,选用弹簧圈、聚乙烯醇(PVA)颗粒、明胶海绵颗粒、无水乙醇及白芨明胶海绵颗粒混合剂进行栓塞。观察术中操作、术后并发症及随访治疗效果。15例介入操作均成功完成。手术时间为(30±14)分钟,术后住院时间为1~7(2.0±1.8)天,患者术后12小时恢复正常生活。里急后重(14/15)、疼痛(5/15)及低热(11/15)无需特殊处理即可缓解。所有患者均获随访(19.0±2.6)个月,出血症状治愈,无严重并发症发生。经导管超选择性直肠上动脉栓塞治疗痔疮技术上安全可行。

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