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患者的位置在内镜逆行胆-胰腺造影时是否会被计算? 左侧下垂与倾斜的位置对比
Laima Alam1, Rao Saad Ali Khan2, Farrukh Saeed3
1Laima Alam, FCPS, MRCP, ESEGH, CHPE, Consultant Gastroenterology. Bahria International Hospital, Rawalpindi, Pakistan.
Pakistan journal of medical sciences
|September 8, 2023
概括
左侧部 (LL) 位置与内镜逆行胆管胰腺扫描 (ERCP) 的倾斜位置 (PP) 一样有效和安全. 这两种立场在成功率和并发症方面都显示出相似的结果,支持LL作为一个可行的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术 进行内镜手术
- 患者定位 患者定位
背景情况:
- 内镜逆行胆胰腺学 (ERCP) 是一个关键的诊断和治疗程序.
- 在ERCP过程中患者的位置可以影响程序的成功和安全.
- 左侧 (LL) 和倾斜的位置 (PP) 是常用的,但它们的比较有效性需要进一步研究.
研究的目的:
- 为了比较ERCP期间左侧 (LL) 与倾斜位置 (PP) 的疗效和安全性.
- 评估两种立场之间的程序结果,包括技术成功率和并发症率.
主要方法:
- 一项前性单中心队列研究,涉及114名接受ERCP的患者.
- 患者被随机分配到LL或PP组,并按照特定的排除标准.
- 数据分析包括定性 (频率,奇方) 和定量 (t-测试,曼-惠特尼U) 方法.
主要成果:
- 在96%的患者中取得了技术上的成功,LL和PP组之间没有显著差异.
- 程序时间,调节时间,目标实现时间和ERCP复杂性都相似.
- 虽然在PP组中无意中胰腺管管和ERCP后胰腺炎 (PEP) 的发生率略高,但这些差异在统计学上并不显著.
结论:
- 在ERCP中,左侧 (LL) 位置不低于俯卧 (PP) 位置.
- 在技术成功,手术时间和并发症率方面,LL和PP都提供了可比的结果.
- 在ERCP中,LL位置代表了PP的安全有效替代品.
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