在内镜粘膜切除与肠的凝结过程中比较术后出血的疗效和因素
Zhiang Li1, Fei Yu, Chaoqian Wang
1Department of Anal Surgery, Dongyang People's Hospital of Wenzhou Medical University, Dongyang, P.R. China.
Medicine
|September 15, 2023
概括
内镜粘膜切除 (EMR) 对于形聚体比阿贡血凝固 (APC) 更有效,而这两种方法都适用于平面聚体. 手术后出血风险与高血压,糖尿病和多体特征有关.
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
- 在瘤学瘤学.
背景情况:
- 结肠直肠多需要有效的内镜去除.
- 对比内镜粘膜切除 (EMR) 和阿贡血凝固 (APC) 对于优化治疗至关重要.
- 确定术后出血的危险因素对于患者的安全至关重要.
研究的目的:
- 为了比较EMR和APC对肠的疗效.
- 为了确定多片切除后手术后出血的独立风险因素.
主要方法:
- 一项对132名患有结直肠息肉的患者进行EMR (68例) 或APC (64例) 的比较研究.
- 对临床疗效,手术相关指标和生活质量的分析.
- 后勤分析以确定与术后出血相关的因素.
主要成果:
- 与APC相比,EMR显示出subpedunculated和raised-pedunculated息肉的治愈率显著更高 (P < .05).
- 在EMR和APC (P > .05) 之间没有观察到平面和表面升起的息肉的治愈率有显著差异.
- 高血压,糖尿病,高脂血症,右半结肠多,直肠多,脚多和腺瘤多是术后出血的独立危险因素 (P < .05).
结论:
- EMR是一种适合治疗形和形升高多的治疗方法.
- 无论是EMR还是APC都对平面和表面上升的息肉有效.
- 特定患者的并发症和多体特征增加了术后出血的风险.
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