内镜粘膜切除和内镜亚粘膜解剖对结肠多瘤切除的影响以及影响复发的因素
1Department of General Surgery, Wenzhou Integrated Traditional Chinese and Western Medicine Hospital, Wenzhou, China.
Surgical laparoscopy, endoscopy & percutaneous techniques
|December 5, 2024
概括
与内镜粘膜下切除 (EMR) 相比,内镜粘膜下切除 (ESD) 显示结肠聚体的复发率较低. 关键的复发因素包括多个大息肉和结直肠癌家族史.
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
- 在瘤学瘤学.
背景情况:
- 结肠直肠多需要有效的内镜切除.
- 内镜粘膜切除 (EMR) 和内镜亚粘膜切除 (ESD) 是常见的技术.
- 影响多胞体复发的因素需要进一步调查.
研究的目的:
- 为了比较EMR和ESD在结肠多切除中的有效性和安全性.
- 为了确定与结肠多复发后切割相关的因素.
主要方法:
- 一项前性随机受控研究,涉及174名结肠直肠多患者.
- 患者被随机分配到EMR或ESD组.
- 评估了临床疗效,生活质量,不良事件和1年复发率.
主要成果:
- 在临床疗效,生活质量或并发症方面,EMR和ESD没有显著差异.
- 与EMR组相比,ESD组的1年复发率明显低于EMR组.
- 复发的独立风险因素包括≥3个息肉,息肉直径≥2厘米,以及结直肠癌家族史.
结论:
- 无论是ESD和EMR都是有效和安全的结肠多切除.
- 在较低的多复发率方面,ESD显示出优异的结果.
- 识别患有风险因素 (多重/大息肉,家族病史) 的患者对于管理复发至关重要.
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