超选择动脉栓塞术治疗痔病3例初探  

Super-selective arterial embolizationfor the treatment of hemorrhoids: initial results in 3 cases

作　　者：罗春生[1,2] 贾一平[1] 杨巍[2] 殷响[1] 汪庆明[2] 茅爱武[1] 

机构地区：[1]上海交通大学医学院附属同仁医院医学影像介入科,200051 [2]上海中医药大学附属曙光临床医学院

出　　处：《介入放射学杂志》2016年第12期1089-1093,共5页Journal of Interventional Radiology

摘　　要：目的评估无水乙醇超选择性动脉栓塞术治疗慢性疑难痔病出血、脱出的可行性和临床效果。方法超细导管超选择至直肠上动脉末梢，各分支染色密集处分别注入0．5～2．5ml无水乙醇。结果3例患者手术技术均获成功。术后随访6。10个月，无出血和脱出症状，电子肛门镜下痔核基本萎缩或消失，患者均临床痊愈。结论无水乙醇超选择性动脉栓塞术治疗慢性痔病微创、失血量少、安全有效．为临床上一般情况差、不能耐受手术或反复手术不能再行常规手术的危重痔病患者，提供了一种治疗选择和解决办法。Objective To evaluate the clinical feasibility and efficacy of super-selective arterial embolization with ethanol in treating chronic refractory hemorrhoids associated with bleeding and prolapse. Methods An ultra-micro catheter was inserted into the distal site of the superior rectal artery, and 0.5- 2.5 ml ethanol was injected in each branch that showed dense staining. Results The technical success rate in the three patients was 100%. The patients were follow-up for 6-10 months, no bleeding or prolapse of hemorrhoids was observed, electronic anoscope examination showed that the hemorrhoids basically shrank or disappeared, and all patients were cured. Conclusion For chronic hemorrhoids, super-selective arterial embolization is a minimally- invasive, safe and effective treatment with less blood loss. For the patients, whose clinical general situation is poor or who are not able to tolerate surgery or repeated surgeries, this technique provides a therapeutic approach.

关 键 词：痔病 血管内介入栓塞术 直肠上动脉 无水乙醇 

分 类 号：R657.18[医药卫生—外科学]