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对良性瘤的切除术率下降:一个全国性的分析

Sara Sakowitz¹, Syed Shahyan Bakhtiyar^1,2, Saad Mallick¹

¹Cardiovascular Outcomes Research Laboratories (CORELAB), University of California, Los Angeles, CA, United States of America.

|October 25, 2023

概括

从2012年到2019年,良性息肉的结肠切除率在全国范围内下降,但在黑人患者中增加. 良性息肉切除术的死亡率和并发症率较低.

科学领域:

结肠直肠外科手术是什么意思
手术瘤学手术瘤学
公共卫生公共卫生

背景情况:

对良性结肠瘤的内镜技术已经进步.
尽管有进展,但手术治疗率却有所增加.
对于结肠瘤的结肠切除术的国家趋势需要描述.

研究的目的:

为了描述结肠瘤切除术的时间趋势.
分析与切除术相关的患者特征.
为了评估结肠切除术对良性与恶性结肠瘤的结果.

主要方法:

利用2012-2019年全国住院患者样本为全国代表的队列.
包括接受为良性或恶性结肠瘤选择性部分切除术的患者.
不包括患有炎症性肠病或肠道穿孔的患者.

主要成果:

在569,280例小肠切除术中,有27.0%为良性病变.
良性胆管切除术的比例从28.6% (2012) 降至23.7% (2019).
黑人患者在良性瘤的切除术中呈现增量增加,与全国的下降形成对比.

结论:

从2012年到2019年,良性息肉的结肠切除在全国范围内有所下降.
对结肠瘤查和治疗的持续不平等需要进一步调查.
识别那些从手术切除中获益最多的患者至关重要.

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