EUS引导的骨盆液排水系统的安全性和临床有效性
Maher Al Khaldi1, Alexander Ponomarev1, Carole Richard1
1Digestive Surgery Service, Department of Surgery, Centre Hospitalier de l'Université de Montreal (CHUM), Montreal, QC, Canada.
Endoscopic ultrasound
|September 11, 2023
概括
以内镜超声波 (EUS) 为指导的骨盆液排水是一种安全有效的最小侵入性选择. 这种技术在瘤解决方面取得了很高的成功率,为传统方法提供了可行的替代方案.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 手术瘤学手术瘤学
背景情况:
- 盆腔往往需要排水,使用包括手术和放射学在内的传统方法.
- 内镜超声波 (EUS) 是一种潜在的微创方法,用于腹管理.
研究的目的:
- 评估EUS引导的骨盆液排水的技术可行性,安全性和有效性.
- 用这种内镜技术来评估解脱的成功率.
主要方法:
- 在2002年至2020年期间,对60名患者进行了通过穿直肠路线进行EUS引导的骨盆液排水的回顾性审查.
- 分析技术成功,临床结果和的解决率,并比较排水/支架放置与单独吸入.
主要成果:
- 在97%的病例中 (58/60名患者) 取得了技术上的成功.
- 在72.7%的患者中,完全消失,包括成功的重新干预后,整体消失率为85.5%.
- 排水管的放置与瘤解决率 (83%) 的改善有关.
结论:
- 在技术上可行,安全和有效的EUS引导的骨盆液排水.
- 这种内镜方法提供了有利的临床结果,并作为放射性或手术排水的有价值的替代方案.
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