内镜注射硬化疗法用于治疗小肠血管新生病的复发性出血
Jing Yang1, Lei Zhou1, Dan Xu1
1Department of Gastroenterology, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology, No.26, Shengli Street, Jiang'an District, Wuhan, Hubei Province, 430014, China.
BMC gastroenterology
|July 11, 2023
概括
内镜注射硬化疗法 (EIS) 有效地治疗小肠血管切开 (SBA),显著减少再次出血和住院. 这种安全的手术是一种有前途的第一线选择,用于 SBA 经常性出血.
科学领域:
- 胃肠病学 胃肠病学
- 内镜检查是指内镜检查.
- 血管医学 血管医学
背景情况:
- 小肠血管切除症 (SBAs) 是一个挑战,因为缺乏关于最佳内镜治疗的共识.
- 来自SBA的经常性出血需要有效和安全的治疗策略.
研究的目的:
- 评估内注射硬化疗法 (EIS) 治疗SBAs复发出血的有效性和安全性.
- 为了比较EIS治疗与SBA患者的标准护理的结果.
主要方法:
- 对66名通过囊内镜或双气球内镜诊断的SBAs的成年患者进行了回顾性研究.
- 患者被分为一个EIS组 (35) 和一个对照组 (31).
- 结果包括再出血,再入院和红细胞输血率进行了比较.
主要成果:
- 与对照组相比,EIS组显示出明显较低的再出血,再入院和红细胞输血后出院率 (P <0.05).
- 在EIS组出院后,住院和红细胞输血率显著下降 (P <0.05).
- 多变量分析发现EIS是防止再出血的重要保护因素 (OR,0.037;P < 0.001).
结论:
- 内镜注射硬化疗法 (EIS) 在治疗复发性SBA出血方面表现出良好的有效性和安全性.
- 对于SBAs来说,EIS可以被认为是第一线内镜治疗选择.
- 在出院后12个月内没有报告任何不良事件或死亡.
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