用上腺素添加盐水在结肠直肠息肉的冷鼻多眼术中进行下注射,缩短切除所需的时间:一项随机对照研究
Atsushi Katagiri1, Norihiro Suzuki1, Shinya Nakatani1
1Department of Medicine, Division of Gastroenterology, Showa University School of Medicine, Tokyo, JPN.
Cureus
|June 19, 2023
概括
下注射添加上腺素的盐水注射显著减少了在冷陷多角切除术 (CSP) 期间大肠直肠多的切除时间. 这种方法还可以减少手术后立即出血,提高效率和患者的治疗结果.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 结肠直肠癌 预防 预防
背景情况:
- 在冷陷多角切除术 (CSP) 后立即出血可能会使结肠直肠多切除复杂化.
- 长期出血可能会阻碍残留物检测,并延长手术的持续时间.
研究的目的:
- 评估是否添加上腺素的内注射减少了CSP程序所需的时间.
- 为了比较CSP与上腺素添加的下注射 (CEMR) 与常规CSP的效率.
主要方法:
- 进行了一项单中心,前性,随机对照试验.
- 患有≤10毫米结直肠多的患者被随机分配到CEMR或常规CSP.
- 主要结局:切除所需的时间;次要结局:即时出血自发停止的时间.
主要成果:
- 与CSP组 (130.9秒) 相比,CEMR组的切除时间 (106.3秒) 显著缩短 (P < 0.001).
- 在CEMR组 (20.4秒) 与CSP组 (74.2秒) 相比,即时出血自发停止的时间也明显较短 (P < 0.001).
- 在这两组中,没有病例需要静血,穿孔或延迟出血.
结论:
- 与传统的CSP相比,CEMR显著缩短了大肠直肠聚 ≤10毫米的切除时间.
- 切除时间的缩短是由于立即出血的停止速度更快.
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