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在成功的内镜扭曲后早期复发的管理在西格体卷发症中
Nurhak Aksungur1, Esra Disci2, Rifat Peksoz3
1Nurhak Aksungur, MD Assistant Professor, Department of General Surgery, Faculty of Medicine, Ataturk University, Erzurum, Turkiye.
Pakistan journal of medical sciences
|October 17, 2024
概括
半选择性手术有效地管理了内镜扭曲后的早期西格体卷发复发. 这种方法为患者提供了安全和传统的治疗选择,患者的死亡率和发病率较低.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 结肠直肠手术 结肠直肠手术
背景情况:
- 在内镜扭曲后,西格体卷膜 (SV) 复发率在3%至86%之间.
- 在最初入院期间的早期复发影响了大约13%的患者.
- 传统的治疗涉及半选择性手术,但存在选择性手术或皮肤内镜西格莫伊多佩克西 (PES) 等替代方案.
研究的目的:
- 讨论半选择性手术在管理早期西格卷发复发中的作用和有效性.
- 评估内镜扭曲后的治疗选择和患者预后.
主要方法:
- 对1076名因西格体卷发症治疗的患者进行了回顾性和前性分析.
- 对612名患者 (1966-1986) 和464名患者 (1986-2024) 的治疗选择和结果的评估.
- 专注于在成功的非手术扭曲后经历早期SV复发的患者.
主要成果:
- 在621名成功进行非手术扭曲的患者中,早期SV复发发生在34名 (5.5%) 的患者中.
- 所有34名早期复发的患者都接受了半选择性手术治疗.
- 外科手术包括扭曲手术,中手术,用初级瘤切除术和用口腔术切除术,死亡率为2.9%,发病率为14.7%.
结论:
- 半选择性手术仍然是一个传统的和有效的方法,用于早期的西格卷发复发.
- 它允许患者康复,肠道准备和抗生素预防.
- 像选择性手术或PES的重复内镜等替代治疗方法具有局限性,包括较低的实施率和不良预后.
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