试点研究检测穿孔与腹部超声波在胃内镜下粘膜解剖期间穿孔
Ji Eun Kim1, Jeayoun Kim2, Tae Se Kim1
1Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Republic of Korea.
腹部超声波可以检测胃病的内镜下粘膜解剖 (ESD) 期间的微孔. 这种简单的工具有助于快速识别胃孔,使得迅速干预,并可能减少并发症.
科学领域:
- 胃肠病学 胃肠病学
- 医疗成像医学成像
- 手术瘤学手术瘤学
背景情况:
- 胃腺瘤和癌症的内镜下粘膜解剖 (ESD) 指示正在扩大.
- 复杂的ESD程序增加了穿孔的风险,导致长时间住院和更高的成本.
- 缺乏关于在ESD过程中检测微孔的研究.
研究的目的:
- 评估腹部超声波在胃ESD期间识别穿孔迹象的实用性.
- 评估使用腹部超声波在高度复杂的ESD病例中实时检测穿孔的可行性.
主要方法:
- 一项试点研究涉及50名接受胃ESD的患者.
- 在ESD程序中使用腹腔超声波 (VScan AirTM).
- 术后的X射线被使用了三天,以确认空气检测.
主要成果:
- 三名患者在手术后出现了空气自由,特别是在对胃体壁进行干预后.
- 腹部超声检查发现了间接穿孔的迹象:异常的腹线,超声波阴影和气体模式的改变.
- 超声波的发现得到了后续的X射线证实,证实了空气自由.
结论:
- 腹部超声波是一种简单而有效的工具,用于在胃ESD期间快速检测穿孔.
- 通过超声波早期检测有助于及时干预,可能改善患者的治疗结果.
- 建议进行进一步的多中心研究来验证这些发现.
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