Nghiên cứu bước đầu kết quả chụp và nút mạch trong điều trị chảy máu tiêu hóa dưới

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Tác giả: Quốc Việt Đặng, Hoàng Bắc Nguyễn, Ngọc Minh Triết Phạm, Doãn Khắc Việt Trần, Tấn Đức Võ

Ngôn ngữ: vie

Ký hiệu phân loại: 616.247 Diseases

Thông tin xuất bản: Tạp chí Điện quang và Y học hạt nhân, 2023

Mô tả vật lý: 45391

Bộ sưu tập: Metadata

ID: 502184

Thêm vào giỏ

Acute lower gastrointestinal bleeding (ALGB) is an urgent, potentially life-threatening emergency, especially in case endoscopy is not identifiable or uncontrollable in management bleeding. Following the development of technology and applying minimal invasive modalities, endovascular treatment is more and more to be applied. Primary endpoint: Figure out the rate of technical success, the clinical success and the complication relating to bowel ischemia of embolization in ALGB. Secondary endpoint: Figure out the rate of negative bleeding finding angiograms in diagnosis of ALGB Method: Retrospective cohort study Results: From 01/2019 to 01/2022, 23 embolisms were performed in total 35 procedures of 24 patients. There were 12 angiographies with negative bleeding finding result (34.3%). In embolization procedure, first embolisms were 21/23 and two procedures were re-embolism. The rate of technical success after first embolisms was 95.2% and clinical success reaches 76.2%. There was no major complication relating to bowel ischemia. Conclusion: Transcatheter angiographic embolization is a safe and effective management for acute lower gastrointestinal bleeding with minimal invasive.Xuất huyết tiêu hóa dưới cấp tính (ALGB) là một trường hợp cấp cứu khẩn cấp, có khả năng đe dọa tính mạng, đặc biệt trong trường hợp nội soi không xác định được hoặc không thể kiểm soát được tình trạng xuất huyết. Theo sự phát triển của công nghệ và áp dụng các phương thức xâm lấn tối thiểu, điều trị nội mạch ngày càng được áp dụng nhiều hơn. Tiêu chí chính: Tìm ra tỷ lệ thành công về mặt kỹ thuật, thành công về mặt lâm sàng và biến chứng liên quan đến thiếu máu cục bộ ruột do tắc mạch ở bệnh nhân ALGB. Tiêu chí phụ: Tìm ra tỷ lệ xuất huyết âm tính trên chụp động mạch trong chẩn đoán ALGB Phương pháp: Nghiên cứu đoàn hệ hồi cứu Kết quả: Từ tháng 01/2019 đến tháng 01/2022, 23 ca tắc mạch đã được thực hiện trong tổng số 35 thủ thuật trên 24 bệnh nhân. Có 12 trường hợp chụp mạch cho kết quả chảy máu âm tính (34,3%). Trong thủ thuật thuyên tắc, lần thuyên tắc đầu tiên là 23/21 và hai thủ thuật là tái tắc mạch. Tỷ lệ thành công về mặt kỹ thuật sau lần thuyên tắc đầu tiên là 95,2% và thành công về mặt lâm sàng đạt 76,2%. Không có biến chứng lớn liên quan đến thiếu máu cục bộ ruột. Kết luận: Thuyên tắc mạch qua ống thông là phương pháp điều trị an toàn và hiệu quả trong điều trị xuất huyết tiêu hóa dưới cấp tính với mức độ xâm lấn tối thiểu.

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