透视乳头切除术后的出血及其危险因素:一个单一中心的196例病例的经验
Jin Ho Choi1, Won Chul Kim1, Joo Kyung Park1
1Department of Medicine, Division of Gastroenterology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.
概括
透视乳头切除术有效地去除了Vater腺瘤的囊. 亲属腺瘤多重症和男性性增加了这种程序后延迟出血的风险.
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:
- 阿姆普拉沃特 (AoV) 腺瘤的治疗方法是微创性内镜乳头切除术 (EP).
- EP后的临床结果和预后需要彻底审查,包括复发和不良事件.
研究的目的:
- 审查对AOV腺瘤进行EP的患者的临床结果和预后.
- 为了确定术后出血的危险因素.
主要方法:
- 从2004年到2017年接受EP的196名患者的回顾性审查.
- 分析电子病历以获取临床信息.
- 多变量逻辑回归用于识别术后出血的预测因素.
主要成果:
- 在93.9%的患者中实现了完全切除.
- 在14.7%的病例中观察到瘤复发;7个切除的瘤中有2个是恶性的.
- 副作用发生在45.4%的患者中,延迟出血发生在16.3%的患者中 (所有患者都经过了保守的治疗).
- 亲属腺瘤多重症 (FAP) 和男性性别是延迟出血的显著预测因素.
结论:
- 透视乳头切除术是对AOV腺瘤的一种高度有效和安全的程序.
- 患有FAP的患者和男性面临后EP延迟出血的风险增加.
- 延迟出血最常发生在Vater的囊的远端方面.
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