内镜逆行性尾炎治疗治疗慢性便尾炎的管理
Li-Yun Ma1,2, Jian-Wei Hu1,2, Xian-Li Cai1,2
1Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, 180 FengLin Road, Shanghai, 200032, China.
Surgical endoscopy
|November 21, 2024
概括
内镜逆行性尾炎治疗 (ERAT) 为慢性便尾炎提供了一种安全有效的微创治疗方法. 尾狭窄和扭曲的尾光线是ERAT后复发的关键风险因素.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜检查是指内镜检查.
背景情况:
- 慢性尾炎严重影响患者的生活质量,原因是持续的腹痛.
- 内镜逆行性尾炎治疗 (ERAT) 是一种新兴的急性尾炎的非侵入性治疗方法.
研究的目的:
- 评估ERAT治疗慢性便尾炎的安全性和有效性.
主要方法:
- 对60名因慢性便尾炎接受ERAT治疗的患者进行了回顾性审查.
- 对临床病理学数据,程序参数,不良事件和后续结果的分析.
主要成果:
- 在所有患者 (100%) 中成功输入ERAT管道,平均手术时间为15分钟.
- 在术后腹痛得分显著降低 (P < 0.0001).
- 短期 (8.3%的疼痛,3.3%的发烧) 和长期不良事件的低率 (5.0%的复发性疼痛,3.3%的复发性尾炎). 尾狭窄和扭曲的尾光线被确定为复发的危险因素.
结论:
- 在慢性便尾炎中,ERAT提供了一种安全,有效和最少侵入性的选择.
- 尾膜狭窄和扭曲是复发的重要危险因素.
- 需要进一步的大规模前性研究来比较ERAT与现有治疗方法.
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