摘要
目的探讨症状性孤立性肠系膜上动脉夹层(ISMAD)患者保守治疗与腔内治疗的效果。方法检索Web of Science、PubMed、中国知网、万方数据库中ISMAD患者保守治疗与腔内治疗效果,检索时间为建库至2022年10月1日,采用RevMan 5.3统计软件对文献进行Meta分析。结果共纳入文献11篇,664例ISMAD。Meta分析结果显示,腔内治疗组患者治疗有效率、远期夹层重塑率均明显高于保守治疗组患者,差异均有统计学意义(P﹤0.01)。两组患者腹痛复发率比较,差异无统计学意义(P﹥0.05)。结论腔内治疗ISMAD患者有效率、夹层重塑率均高于保守治疗,两者复发性腹痛发生率无差异,因此腔内治疗ISMAD值得在临床上进一步推广应用。
Objective To investigate the effect of conservative treatment and endovascular treatment in patients with symptomatic isolated superior mesenteric artery dissection(ISMAD).Method The results of conservative treatment and endovascular treatment of ISMAD patients were searched from Web of Science,PubMed,CNKI and Wanfang database from the establishment of the database to October 1,2022.Meta-analysis was performed using RevMan 5.3 statistical software.Result A total of 11 literatures were included,with 664 cases of ISMAD.The results of Meta-analysis showed that the treatment effectiveness and long-term dissection remodeling rate of patients in the endovascular treatment group were significantly higher than those in the conservative treatment group,the differences were statistically significant(P<0.01).There was no significant difference in the recurrence rate of abdominal pain between two groups(P>0.05).Conclusion The effective rate and sandwich remodeling rate of intracavitary treatment for ISMAD patients are higher than those of conservative treatment,and there is no difference in the incidence of recurrent abdominal pain between the two methods.Therefore,intracavitary treatment for ISMAD is worthy of further promotion and application in clinical practice.
作者
陈寅逵
杜果城
Chen Yinkui;Du Guocheng(Department of Vascular Surgery,Nanchong Central Hospital,North Sichuan Medical College,Nanchong 637000,Sichuan,China)
出处
《血管与腔内血管外科杂志》
2024年第6期696-700,共5页
Journal of Vascular and Endovascular Surgery
关键词
孤立性肠系膜上动脉夹层
保守治疗
腔内治疗
isolated superior mesenteric artery dissection
conservative treatment
endovascular treatment
