穿孔胃的切除活检:强制性还是可能有害?
Faruk Koca1, Christine Koch2, Falko Schulze3
1Department of General, Visceral, Transplant and Thoracic Surgery, Goethe University Frankfurt, University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. fkoca@med.uni-frankfurt.de.
自发胃穿孔的切除活检增加了术后并发症. 通过早期内镜活检进行手术关闭可能是管理胃穿孔和检测恶性瘤的更好方法.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 临床结果研究研究
背景情况:
- 自发胃穿孔是一个关键的手术紧急情况.
- 管理决策,包括活检技术,影响患者的结果.
- 评估与特定手术程序相关的发病率至关重要.
研究的目的:
- 评估与自发胃穿孔患者的切除活检相关的发病率.
- 为了比较接受切除活检与其他外科手术方法的患者之间的结果.
主要方法:
- 回顾性,单中心,观察性研究.
- 包括连续的成年患者,自发性胃穿孔需要手术干预.
- 结果分析基于切除活检的表现.
主要成果:
- 分析了135名患者,110人接受了切除活检.
- 切除活检与明显更高的术后并发症率相关 (p=0.007).
- 在切除活检组 (p=0.017) 观察到更严重的并发症 (Clavien-Dindo III+级).
结论:
- 胃穿孔的切除活检与增加的发病率有关.
- 手术关闭后进行早期内镜活检可能是一个优秀的策略.
- 这种替代方法可以改善胃穿孔管理和恶性瘤检测.
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