活检子对于测量食道静脉是有用的in vitro
Zhi-Hui Duan1, Sheng-Yun Zhou2
1Endoscopy Center, Xingtai People's Hospital, Xingtai 054000, Hebei Province, China. 15131988129@163.com.
World journal of gastrointestinal surgery
|March 11, 2024
概括
活检叉子 (BF) 可以提高食道静脉 (EV) 尺寸评估在肝硬化患者的准确性. 这种简单的工具增强了内镜师分类静脉瘤的能力,有助于预防急性静脉瘤出血.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 内镜检查是指内镜检查.
背景情况:
- 目前的肝硬化指南建议根据大小和红色标记对高风险食道静脉瘤 (EV) 进行查.
- 在内镜检查过程中对EV大小的视觉估计经常是不准确的,导致潜在的错误分类.
研究的目的:
- 评估生物检测 (BF) 是否可以作为参考工具,以提高食道水大小二元分类的准确性.
主要方法:
- 创建了一个直径为2-12毫米的体外食道静脉 (EV) 模型.
- 84名内镜医生在盲目随机在线调查中评估了22个模拟的EV图像 (带有和没有BF).
主要成果:
- 对于EV大小估计的准确性很低 (13.81%是视觉,20.28%是基于BF).
- 使用开放式活检 (BF) 显著改善了对静脉的正确分类 (小≤5毫米与大>5毫米) 从71.85%提高到82.17% (P<0.001).
结论:
- 活检叉子 (BF) 显示有潜力提高食道静脉 (EV) 大小评估的准确性.
- 需要对BF在EV大小评估中的临床应用进行进一步的研究.
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