混合血凝血治疗巴雷特食道:一个前性的多中心研究
Dong Wang1, Yan Chen2, Feng Ji3
1Department of Gastroenterology, Shanghai Ninth People's Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai 200011, China.
World journal of clinical cases
|July 12, 2024
概括
混合APC切除是巴雷特食道 (BE) 的安全和有效治疗方法,其治愈率高,并发症最小. 这种快速的程序对于短段的BE.特别成功.
科学领域:
- 胃肠病学 胃肠病学
- 内镜治疗疗法 内镜治疗
- 在瘤学瘤学.
背景情况:
- 巴雷特食道 (BE) 发病率在中国低于西方人群,研究有限.
- 目前的BE治疗方法,如APC,射频除和冷除,成功率各不相同.
研究的目的:
- 评估HybridAPC除治疗BE的疗效和安全性.
主要方法:
- 一组BE患者接受了由七名内镜医生进行的混合APC切除术.
- 收集的数据包括手术持续时间,治愈率,并发症和1年复发率.
主要成果:
- 在2017年7月至2020年6月期间,80名患者 (39名男性,41名女性,中位数年龄54岁) 接受了治疗.
- 混合APC实现了100%的技术成功和98.15%的整体治愈率,没有严重的并发症.
- 短段BE患者在没有并发症的情况下治愈;36名患者在1年的随访中没有复发.
结论:
- 混合APC是一种简单,快速,安全和有效的短期治疗BE,特别是短段BE.
- 这种技术为BE提供了可行的替代性废弃疗法.
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