在接受抗凝药治疗的患者中,尾孔的水下多角切除术
Andrés Fernando Yépez Carpio1, Cristina Nathaly Zambrano Rosero2, Ronald Eugenio Cedeño Muñoz1
1Gastroenterología, Hospital de Especialidades Carlos Andrade Marín, Ecuador.
这项研究详细介绍了在华法林治疗的患者中,成功地进行了形形息肉的水下多角切除术. 该程序采用先进的内镜技术,导致完全切除,没有并发症.
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
背景情况:
- 深静脉血栓症 (DVT) 管理通常涉及抗凝药,如华法林,这可能会增加内镜手术期间的出血风险.
- 眼中的状息肉需要仔细切除,以防止出血和穿孔等并发症.
研究的目的:
- 描述在华法林治疗的患者中,水下多角切除术的技术和结果.
- 评估先进的内镜工具的安全性和有效性,用于管理复杂的多角切除术.
主要方法:
- 高分辨率内镜与虚拟染色内镜和放大器内镜.
- 采用特定的肌体调节 (自动切割:80W,效果5;软凝结:60W,效果5) 进行的水下多体术技术.
- 切除床进入尾孔以进行静血.
主要成果:
- 成功切除了两片形形多体的块状切除.
- 在手术后没有报告延迟出血或其他并发症.
- 组织病理学证实了带有明显切除边缘的管状腺瘤.
结论:
- 水下多角切除术是一种可行的和安全的技术,用于状结体多,即使在抗凝血患者中也是如此.
- 先进的内镜可视化和特定的能量装置设置可以促进完整的多切除,并最大限度地降低出血风险.
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