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良性结直肠多的手术治疗 2008-21

Jens Aksel Nilsen¹, Linn Bernklev², Michael Bretthauer³

¹Medisinsk avdeling, Bærum sykehus, Vestre Viken, og, Klinisk effektforskning, Institutt for helse og samfunn, Universitetet i Oslo, og, Klinisk effektforskning, Avdeling for transplantasjonsmedisin, Oslo universitetssykehus.

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概括

在挪威,对良性结肠直肠多的手术治疗仍然很常见,尽管人们更喜欢内镜去除. 这项研究强调需要提高内镜能力和多学科团队,以提高患者安全和健康经济.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
公共卫生政策公共卫生政策

背景情况:

结肠直肠癌通常是从良性结肠直肠多瘤发展起来的.
内镜去除良性息肉是建议的治疗方法,以防止不必要的手术.
本研究研究了2008年至2021年挪威良性息肉的手术治疗率.

研究的目的:

为了确定挪威良性结直肠多瘤的外科手术的程度.
分析14年间外科切除率的趋势.
评估当前治疗实践对患者安全和医疗保健成本的影响.

主要方法:

利用挪威患者登记处的数据进行手术切除和多诊断.
结合了关于进行结肠镜检查的数量数据.
使用来自挪威统计局的人口数据计算年度发病率.

主要成果:

从2008年到2021年,良性息肉和结肠镜的发生率显著增加.
良性息肉的手术切除也增加,从每10万人口中的4.2个增加到6.3个.
在超过215,000名良性息肉患者中,只有2.1%接受了手术,随着时间的推移,这一比例略有下降.

结论:

在挪威,对良性结肠直肠多的手术治疗仍然很普遍.
目前的做法可能会对患者安全和健康经济产生负面影响.
建议包括建立多学科团队,加强医疗信托机构的内镜专业知识.

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