骨盆的EUS引导的横直肠排水:对17名患者的回顾性分析
H Peeters1, M Simoens2, J Lenz2
1Department of Gastroenterology, University Hospitals Leuven, Belgium.
Acta gastro-enterologica Belgica
|October 10, 2023
概括
通过内镜超声波 (EUS) 引导的横直肠骨盆液排水是一种安全有效的微创治疗方法. 这种方法在解决盆腔方面取得了100%的成功,使其成为推的第一线选择.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 干预性放射学 干预性放射学
背景情况:
- 盆腔是腹部手术后或与妇科或肠道疾病相关的常见并发症.
- 以内镜超声波 (EUS) 引导的排水为盆腔治疗提供了一种对传统的手术或皮肤穿刺方法的最小侵入性的替代方案.
研究的目的:
- 在一个机构内评估EUS引导的跨直肠骨盆液排水的安全性和有效性.
- 评估EUS引导的盆腔排水的结果.
主要方法:
- 从2017年2月到2023年4月,对从2017年2月到2023年4月接受EUS引导的骨盆液排水的患者进行了回顾性分析.
- 包括所有通过EUS指导排水在一个中心治疗盆腔的患者.
主要成果:
- 17名患者接受了EUS指导排水,技术成功率为100%,没有程序并发症.
- 的病因包括手术后 (29%),医疗疾病 (59%) 和胃肠道穿孔 (12%).
- 100%的患者实现了完全解脱和症状缓解,平均住院时间为5天,平均随访39个月没有复发.
结论:
- 使用双猪尾支架的盆腔的EUS导向横直肠排水是一种安全且非常有效的程序.
- 当经验丰富的从业者进行时,该方法应被视为盆腔的主要治疗选择.
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