数字减影血管造影引导下幽门球囊扩张术治疗术后胃瘫优于内科保守治疗  

DSA-guided pyloric balloon dilation versus conservative medical treatment for postsurgical gastroparesis syndrome

作　　者：郭玮平 陈文华[1] 王祁[1] GUO Weiping;CHEN Wenhua;WANG Qi(Department of Interventional Radiology,Affiliated Third Hospital of Suzhou University,Changzhou,Jiangsu Province 213000,China)

机构地区：[1]苏州大学附属第三医院介入放射科,江苏常州213000

出　　处：《介入放射学杂志》2024年第2期161-164,共4页Journal of Interventional Radiology

摘　　要：目的 比较数字减影血管造影(DSA)引导下幽门球囊扩张术与内科保守治疗治疗术后胃瘫(PGS)的临床疗效。方法 对2012年1月至2021年2月在苏州大学附属第三医院介入放射科实施幽门球囊扩张术与内科保守治疗的41例术后胃瘫患者的临床资料展开回顾性分析。在中位随访时间上,对照组、试验组各是626 d、588 d。两组的平均住院天数(ALOS)进行比较。结果 试验组21例患者在DSA引导下行幽门球囊扩张术治疗后的2 d内,均恢复正常进食,1周内全部出院。试验组(10.2±1.3)d的ALOS明显短于对照组的(34.5±14.2) d,且具有统计学差异(P<0.001)。结论 与内科保守治疗相比,DSA引导下幽门球囊扩张术治疗PGS疗效显著,可以作为PGS患者的首选治疗方法。但作用机制尚不明确,有待进一步研究。Objective To compare the clinical efficacy of DSA-guided pyloric balloon dilation with that of conservative medical treatment for postsurgical gastroparesis syndrome(PGS).Methods The clinical data of 41 patients with PGS,who were admitted to the Department of Interventional Radiology,Affiliated Third Hospital of Suzhou University of China to receive DSA-guided pyloric balloon dilation(study group,n=21)or conservative medical treatment(control group,n=20) between January 2012 and February 2021,were retrospectively analyzed.The median follow-up period in the control group and the study group was 626 days and588 days respectively.The average length of stay(ALOS) was compared between the two groups.Results In the study group,all the 21 patients returned to normal food intake within 2 days after successful DSA-guided pyloric balloon dilation treatment,and they were all discharged within one week after treatment.The ALOS in the study group was(10.2±1.3) days,which was strikingly shorter than(34.5±14.2) days in the control group,the difference between the two groups was statistically significant(P<0.001).Conclusion For the treatment of PGS,DSA-guided pyloric balloon dilation carries better clinical efficacy when compared with conservative medical treatment,therefore,it can be used as the preferred treatment for patients with PGS.Further studies are need to be conducted before its therapeutic mechanism can be clarified.(J Intervent Radiol,2024,32:161-164)

关 键 词：内科保守治疗 透视 术后胃瘫综合征 幽门球囊扩张术 

分 类 号：R735.2[医药卫生—肿瘤]