与青少年常规内镜相比,透鼻内镜的好处
Jui-Wen Lee1, Chi-San Tai2, Kai-Chi Chang2
1Department of Pediatrics, National Taiwan University Hospital, Taiwan; Department of Pediatrics, Taoyuan General Hospital, Ministry of Health and Welfare, Taiwan.
Journal of the Formosan Medical Association = Taiwan yi zhi
|November 10, 2024
概括
过鼻内镜 (TNE) 是常规食道胃管内镜 (EGD) 的成本效益较高的替代方案,用于患有表胃痛的青少年. 随着可比的安全性,TNE显著降低了镇静需求,住院率,检查时间和成本.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 内镜手术 进行内镜手术
背景情况:
- 过鼻内镜 (TNE) 与成年人的常规食道胃管内镜 (EGD) 相比,具有优势,包括减少对静脉麻醉的需求和降低成本.
- 腹膜痛是青少年常见的疾病,需要进行内镜评估.
研究的目的:
- 评估与传统EGD相比,TNE在青少年中的好处和不良影响.
- 为了确定TNE是否适合为儿科患者的替代方案.
主要方法:
- 对从2012年到2022年为表胃痛接受TNE的儿科患者 (12-20岁) 的回顾性审查.
- 与年龄和性别匹配的对照组进行比较,这些对照组接受了相同的指示的常规EGD.
主要成果:
- 与EGD组 (60名患者) 相比,TNE组 (15名患者) 的意识镇静率显著降低 (9.3%与58.3%),住院 (13.3%与43.3%),平均检查时间更短 (7.34分与9.96分),成本更低 (57.6美元与93.2美元).
- 在TNE和EGD组之间没有观察到手术并发症 (如头,表,恶心或吐) 的显著差异 (P > 0.05).
结论:
- 透鼻内镜 (TNE) 是一个具有成本效益和安全的内镜手术,用于青少年患有表肠痛.
- TNE减少了需要有意识的镇静,住院和手术时间的需要,使其成为儿科患者的有利选择.
- 在青少年群体中,TNE为评估青少年群体的表胃痛提供了传统EGD的可行替代方案.
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