内镜自扩展金属支架与内镜真空治疗创伤性食道穿孔:一个回顾性队列研究
Alessandrino Terceiro de Oliveira1,2,3,4, Márcio Alencar Barreira5,6, José Wilson da Cunha Parente Júnior7
1Department of Digestive Endoscopy, Dr. José Frota Institute, Fortaleza, CE, Brazil. aleterceiro@yahoo.com.br.
Surgical endoscopy
|March 6, 2024
概括
食道自扩展金属支架 (E-SEMS) 减少了创伤性食道穿孔 (TEP) 的住院时间和成本,而内镜真空疗法 (EVT) 提供了更短的治疗时间. 这两种治疗都产生了类似的临床结果.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 创伤性食道穿孔 (TEP) 是需要紧急干预的危急情况.
- 食道自扩张金属支架 (E-SEMS) 和内镜真空疗法 (EVT) 是TEP管理的新兴技术.
- 这些方法旨在尽量减少组织损伤和控制食道泄漏.
研究的目的:
- 在TEP患者中,比较EVT与E-SEMS安置的疗效和结果.
- 评估两种治疗方式之间的住院时间,治疗持续时间,成本和临床结果的差异.
主要方法:
- 一项回顾性队列研究,涉及30名被诊断患有TEP的患者.
- 患者被分为两组:一个用E-SEMS治疗,另一个用EVT治疗.
- 评估的关键指标包括住院时间,治疗时间,相关成本和整体临床结果.
主要成果:
- 与E-SEMS (45.8天) 相比,EVT组的治疗持续时间明显较短 (24.4天).
- E-SEMS组的住院时间 (34天) 与EVT (82天) 相比显著缩短.
- 通过E-SEMS处理的平均成本低于EVT,两种方法的排放率相似.
结论:
- 与EVT相比,E-SEMS安置导致了更短的住院时间和更低的TEP成本,尽管治疗时间较长.
- 在管理创伤性食道穿孔方面,E-SEMS和EVT都取得了类似的临床结果.
- 在E-SEMS和EVT之间做出选择可能取决于特定的患者因素和治疗目标,平衡住院治疗,治疗时间和成本.
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