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直肠上动脉栓塞治疗痔疮:目前我们了解多少?

Superior Rectal Artery Embolisation for Haemorrhoids: What Do We Know So Far?

机构信息

The Dudley Group NHS Foundation Trust, Dudley, UK.

The Princess Alexandra Hospital NHS Trust, Harlow, UK.

出版信息

Cardiovasc Intervent Radiol. 2021 May;44(5):675-685. doi: 10.1007/s00270-020-02733-w. Epub 2021 Jan 3.

Abstract

Haemorrhoids are abnormally enlarged anal cushions within the lower rectum. They are common, and have potential to significantly impact patients' quality of life. Superior rectal artery embolisation is a technique which has been discussed in the literature as far back as 40 years ago. More recently, there has been interest in the role of embolisation in the treatment for haemorrhoids, as an alternative to established minimally invasive and conventional surgical techniques. In this review, we discuss the current literature on the topic, with particular focus on technique, clinical outcomes and complications. Emerging procedural and technical considerations are discussed, with further review of the role of coil vs. particle embolisation.

摘要

痔疮是指位于直肠下部的异常增大的肛门垫。它们很常见,并且有可能显著影响患者的生活质量。早在 40 年前,文献中就已经讨论过直肠上动脉栓塞术这一技术。最近,人们对栓塞术在痔疮治疗中的作用产生了兴趣,将其作为传统微创和传统手术技术的替代方法。在这篇综述中,我们讨论了该主题的现有文献,特别关注技术、临床结果和并发症。讨论了新兴的程序和技术注意事项,并进一步审查了线圈与颗粒栓塞的作用。

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