吸血和凝血,以减少胃内镜下粘膜切割后延迟出血的风险 (附视频)
Yufen Tang1,2, Hui Xie2, Lang Yang1,2
1Senior Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, Beijing, China.
概括
一种简单的吸血和凝血 (AC) 方法显著减少了胃内镜下粘膜解剖 (ESD) 后延迟出血. 这种技术提供了一种可行的方法来改善ESD程序后的患者安全.
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:
- 胃内镜下粘膜切割 (ESD) 是用于早期胃癌和癌前病变的微创手术.
- 手术后出血仍然是胃ESD后的一个重要并发症.
- 减轻出血风险的有效方法对于患者的治疗结果至关重要.
研究的目的:
- 评估一种新的吸收和凝血 (AC) 方法的可行性和有效性.
- 评估AC方法在胃ESD后减少术后出血方面的潜力.
主要方法:
- 从2016年1月至2021年12月连续接受胃ESD的患者的回顾性审查.
- 对接受AC方法 (AC组) 和未接受AC方法 (对照组) 的患者进行比较.
- 倾向性得分匹配 (1:1) 用于控制混变量,然后对大规模出血和整体延迟出血率进行分析.
主要成果:
- 在倾向得分匹配后,分析了242对患者,具有类似的基线特征.
- 与对照组相比,AC组的大量出血率 (0.4%对3.3%,P=0.037) 和整体延迟出血率 (1.2%对5.0%,P=0.032) 显著降低.
- 这些好处在患有粘膜病变的患者中尤为明显.
结论:
- 吸收和凝血 (AC) 方法是一种可行的和有效的技术,用于减少胃内镜下粘膜解剖后延迟出血.
- 实施AC方法可以提高患者的安全性,并可能改善胃ESD手术后的结果.
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