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透过门的出血脱细化与粘膜脱与弗格森出血切除术用于缩的内部出血:一个多中心前性研究

Mahir Gachabayov¹, George Angelos², Guy Orangio³

¹Section of Colorectal Surgery, Department of Surgery, Westchester Medical Center, New York Medical College, Valhalla, NY.

Annals of surgery

|June 16, 2023

概括

通过粘膜切除的透口出血性缺血 (THD) 与弗格森出血切除相比,提供更好的疼痛缓解和生活质量. 在长期随访后,两种治疗方法之间的复发率相似.

科学领域:

结肠直肠外科手术是什么意思
手术成果研究的研究结果.
患者生活质量研究研究.

背景情况:

治疗的有效性和耐久性仍然是临床调查的主题.
经门出血性缺血化 (THD) 与粘膜切除术是内出血的最小侵入性选择.
长期对THD与粘膜切除与传统带切除的比较数据有限.

研究的目的:

为了比较THD与粘膜切除和弗格森瘤切除之间的复发率和生活质量结果.
评估两个手术程序的治疗效果的持久性.
为治疗的临床决策提供基于证据的见解.

主要方法:

一项多中心前性研究,涉及20名外科医生和197名内出血患者.
独立专家对未经编辑的手术视频进行审查,以确保程序的准确性.
用经过验证的仪器评估患者报告的结果,包括疼痛量表,生活质量问卷 (FIQOL,SF-12) 和满意度调查.

主要成果:

在术后早期,THD患者报告疼痛得分明显降低,药物使用减少.
随访时间中位数为3.1年,THD (5.9%) 和弗格森出血切除术 (2.4%) 之间的复发率没有显著差异.
术后14天和3个月的THD患者的满意度更高,在6个月和1年后的满意度比较高.

结论:

与粘膜切除术一起的THD显示出优异的早期疼痛管理和与弗格森瘤切除术相比,患者报告的结果有所改善.
这两种手术的长期复发率与内的长期复发率相似.
带有粘膜切除的THD代表了一个有利的治疗选择,平衡疗效与增强患者舒适性和生活质量.

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