孤立的终端阴道的临床过程和预后
Xinjue He1, Yue Chen2, Xinxin Zhou1
1Department of Gastroenterology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.
Archives of Iranian medicine
|February 1, 2024
概括
孤立的终端阴道 (ITIU) 通常会自行消失. 对患有这些的患者来说,观察性随访是一种可行的策略,因为进一步的调查或治疗没有显著改变结果.
科学领域:
- 胃肠病学 胃肠病学
- 内部医学 内部医学
- 诊断内镜检查 诊断内镜检查
背景情况:
- 孤立的终端阴道 (ITIU) 是潜在的肠道疾病潜在指标.
- 目前缺乏管理ITIU的临床指导方针.
研究的目的:
- 调查ITIU患者进一步小肠检查的诊断收益率.
- 评估未确定的ITIU患者的预后和最佳后续策略.
主要方法:
- 在2014年3月至2019年7月期间接受结肠镜检查的患者的回顾性查.
- 包括被诊断为ITIU的患者,其中一些患者接受了扩大小肠检查.
- 通过电话对未被诊断的患者进行至少一年的随访,以收集预后数据.
主要成果:
- 120名患者 (0.3%) 被确定为ITIU.
- 在14名患者的进一步细肠检查中,诊断益处有限.
- 在经验治疗和观察后续组之间,平均在35.4个月内没有观察到预后的显著差异.
- 大多数患者表现出稳定或改善的临床和内镜结果,无论干预措施如何.
结论:
- 非特定的隔离终端阴道一般表现为良性预后.
- 对这些患者来说,观察性随访是合理和有效的管理策略.
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