门诊和住院治疗中的结肠直肠术后出血:倾向性得分匹配分析
Takato Maeda1,2, Hirotake Sakuraba2, Takao Oyama1
1Department of Gastroenterology, Tsugaru General Hospital, Aomori, Japan.
Journal of the anus, rectum and colon
|August 1, 2024
概括
门诊内镜粘膜切除 (EMR) 和热陷多角切除 (HSP) 对于结肠直肠多是安全的. 门诊和住院治疗之间的延迟出血率相似,支持常见的门诊程序的使用.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 结肠直肠手术 结肠直肠手术
背景情况:
- 延迟出血是通过内镜粘膜切除 (EMR) 和热陷多角切除 (HSP) 清除结肠直肠聚的常见并发症.
- 门诊治疗与住院内镜治疗对于结直肠多的延迟出血的比较安全性仍然不清楚.
研究的目的:
- 评估和比较门诊和住院内镜治疗结肠直肠多之间延迟出血的发生率.
- 为了确定门诊内镜多片切除的安全性和可行性.
主要方法:
- 一项回顾性研究,涉及469名患者 (门诊) 和420名患者 (住院) 接受EMR或HSP治疗结直肠多.
- 倾向性得分匹配被用来创建可比的组来分析在手术后14天内延迟出血率.
主要成果:
- 在倾向得分匹配后,分析了376对患者对. 每位患者的延迟出血率为1.3% (门诊) 和2.9% (住院) (P=0.21).
- 早期延迟出血 (在24小时内) 在住院组 (1.1%) 与门诊组 (0.2%) (P=0.04) 相比,在每种多核中发生的比率更高.
- 在这两组中都没有观察到需要输血的严重出血.
结论:
- 对结直肠多的门诊内镜治疗与与住院治疗相比的延迟出血率有关.
- 门诊内镜手术用于切除结直肠聚是安全的,可以被广泛采用.
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