基于虚拟规则的直径测量的作用,用于肝硬化食道的内镜治疗:一项回顾性多中心研究

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Updated: Jun 5, 2025

07:10

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy

Published on: June 18, 2020

19.8K

Zhongliang Fang^1,2, Yuchuan Bai¹, Yudi Mao^1,2

¹Department of Gastroenterology, The First Affiliated Hospital of Anhui Medical University, Hefei 230001, China.

Canadian journal of gastroenterology & hepatology

|December 9, 2024

概括

一个新的虚拟统治器 (VR) 工具准确地测量食道水直径 (EVD),有可能减少肝硬化患者内镜治疗后的再出血. 这项技术有助于内镜师在精确的EVD评估中获得更好的患者结果.

科学领域:

胃肠病学胃肠病学
医疗成像医学成像
内視鏡外科手術內視鏡外科手術

背景情况:

食道水 (EV) 直径是出血风险的关键预测指标,并指导内镜治疗.
精确测量EV直径 (EVD) 对于有效的患者管理至关重要.
需要新的工具来提高EVD评估的精度和效率.

研究的目的:

研究一种新型虚拟统治器 (VR) 的临床实用性,用于在接受内镜治疗的肝硬化患者中评估EVD.
为了比较VR测量与传统内镜测量对患者结果的准确性和影响.
评估VR在指导食道静脉的内镜治疗策略中的作用.

主要方法:

对345名患有EV的肝硬化患者进行了回顾性多中心综述,这些患者正在接受内镜治疗.
食道水直径 (EVD) 用虚拟统治器 (VR) 和内镜医生测量.
结果的比较,包括再出血率,血管根除,死亡率和并发症,通过EBD测量进行分层.

主要成果:

观察到VR和内镜EVD测量之间的中等一致性 (卡帕=0.591).
用VR测量EVD大于1厘米的患者在治疗后出现明显较低的复出出血率 (3.8%对11.3%;p=0.048).
对于EVD≤1厘米或特定内镜治疗方式之间没有发现显著的结果差异.

结论:

虚拟统治者 (VR) 测量食道水直径 (EVD) 可能减少内镜医生的误判和较低的术后复出出血率.
使用VR进行准确的EVD评估具有重要的临床潜力,用于指导食道静脉的内镜治疗.
虚拟现实提供了一种精确和方便的EVD测量方法,改善了治疗肝硬化EVs的临床决策.

关键词:

消化道的水.肝硬化是肝硬化的一种疾病.再次出血的情况.虚拟的统治者虚拟的统治者

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