胰腺动静脉畸形治疗的最新进展
An Update of Treatment of Pancreatic Arteriovenous Malformations.
作者信息
Onozawa Shiro, Miyauchi Ryosuke, Takahashi Masaki, Kuroki Kazunori
机构信息
Department of Radiology, Kyorin University, Faculty of Medicine, Japan.
出版信息
Interv Radiol (Higashimatsuyama). 2023 Jul 1;8(2):49-55. doi: 10.22575/interventionalradiology.2022-0037.
Abstract
Pancreatic arteriovenous malformation is a rare entity (0.9%). There are about 200 articles available in PubMed. This review article includes 86 published articles, with 117 cases published after 2000. The median age at diagnosis was 51, and most of the patients were male (87.0%). The symptoms included pain, bleeding, pancreatitis, ulcers in the duodenum or stomach, varix formation, jaundice, and ascites. The diagnostic modalities were angiography, contrast-enhanced CT, MRI, and/or Ultra Sound. The most common treatments were surgery and embolization. The clinical success rate of embolization reported was 57.7%. The tailored embolization based on each agio-architecture had a clinical success rate of 80%. If embolic therapy is ineffective, surgical intervention should be considered.
摘要
胰腺动静脉畸形是一种罕见疾病（发病率为0.9%）。在医学文献数据库（PubMed）中约有200篇相关文章。这篇综述文章纳入了86篇已发表的文章，其中117例病例发表于2000年之后。诊断时的中位年龄为51岁，大多数患者为男性（87.0%）。症状包括疼痛、出血、胰腺炎、十二指肠或胃部溃疡、静脉曲张形成、黄疸和腹水。诊断方法有血管造影、增强CT、磁共振成像（MRI）和/或超声。最常见的治疗方法是手术和栓塞。报道的栓塞临床成功率为57.7%。基于每种血管结构进行的个体化栓塞临床成功率为80%。如果栓塞治疗无效，应考虑手术干预。
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