压缩的预防作用是,在内镜下膜剖析后,D-二次元水平升高的压缩
Fumito Harada1,2, Shinya Kodashima1, Ken Ikusaka1
1Department of Medicine Teikyo University School of Medicine Tokyo Japan.
DEN open
|July 16, 2024
概括
压缩 (CSs) 在内镜下粘膜剖析 (ESD) 后显著降低了高D-二次元水平. 这表明CSs有助于预防血栓形成,这是ESD后D-二次元升高的原因.
科学领域:
- 胃肠病学 胃肠病学
- 血管医学 血管医学
- 在瘤学瘤学.
背景情况:
- 内镜下粘膜切割 (ESD) 与深静脉血栓症有关.
- 在ESD后的D-二聚合物水平升高与高剂量米达佐拉姆相关.
- 在ESD后的血栓形成预防策略需要进一步调查.
研究的目的:
- 评估压缩 (CSs) 在ESD后预防血栓形成的疗效.
- 评估CS在ESD后对D-二次元水平的影响.
主要方法:
- 对接受ESD治疗上部胃肠道瘤的患者进行回顾性研究.
- 排除ESD前D-二聚合物度≥1.6μg/mL和调整后的米达佐拉姆剂量≤3.0的患者.
- 在CS和非CS组之间比较ESD之前和之后的D-二聚合物水平.
主要成果:
- 与非CS组 (48.2%) 相比,CS组患有ESD后高D-二次元水平的患者显著减少 (18.2%).
- 后勤回归表明,CS使用与ESD后高D-二分体水平的风险较低相关 (OR 0.24,p=0.019).
结论:
- 佩戴压缩与ESD后D-二次元水平升高的风险降低有关.
- 这一发现支持了ESD后D-二次体水平升高中血栓形成的作用.
- CSs可能是管理术后血栓形成风险的宝贵工具.
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