在口腔内镜肌瘤手术中预测吸气相关事件的因素
Feng-Pai Tsai1, Chien-Chuan Chen2, Min-Hsiu Liao3
1Department of Internal Medicine, National Taiwan University Hospital Hsin-Chu Branch, Hsinchu, Taiwan; Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
门内镜肌切除术 (POEM) 对于阿喀拉西亚是安全的内镜套件,与 insufflation-related事件通常是轻微的. 监测峰值吸气压力可以预测这些事件.
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
- 患者安全 患者安全
背景情况:
- 口腔内镜肌切除术 (POEM) 是食道的领先治疗方法,可与手术相提并论.
- 越来越多的POEM使用凸显了需要理解与气胀相关的不良事件 (AE).
研究的目的:
- 为了评估在内镜套件中进行的POEM的安全性.
- 在POEM期间识别 insufflation相关的AE的风险因素.
主要方法:
- 在2016年3月至2022年10月期间接受POEM的100名阿喀拉西亚患者的回顾性分析.
- 在内镜室使用二氧化碳灌气和全身麻醉进行的手术.
- 记录了心肺动态,副作用和恢复情况.
主要成果:
- 所有的POEM手术都取得了成功;发生了1次重大副作用 (食道泄漏) 和27%的轻微副作用.
- 在48%的病例中出现了与吸气相关的事件 (皮膜,肺气,中),没有一个需要干预.
- 吸气压的峰值增加≥20%是吸气相关事件的唯一预测因素.
结论:
- 在内镜套件中的POEM通常是安全的,对于主要的吸气相关的AE.
- 监测高峰吸气压的≥20%的增加可以作为潜在的吸气相关事件的早期预警.
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