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囊切除术后与延迟出血相关的因素:一个回顾性队列研究
Katarzyna M Pawlak1, Kareem Khalaf1, Sunil Gupta1
1Division of Gastroenterology St. Michael's Hospital, University of Toronto Toronto Canada.
DEN open
|February 17, 2025
概括
在内镜片切除术后延迟出血是常见的. 预测因素包括高度发育不良,女性性别,较大的病变和较长的手术时间,为降低风险的策略提供信息.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 外科手术的危险因素
背景情况:
- 内镜式囊切除术是对周病变的首要治疗方法.
- 在手术后的患者中,延迟出血发生在高达10.6%的患者中.
- 这种并发症的预测因子还不清楚.
研究的目的:
- 为了确定内镜囊切除术后延迟出血的独立预测因素.
- 为减少术后出血并发症的策略提供信息.
主要方法:
- 对113名接受内镜片切除术的成年患者进行了回顾性队列研究.
- 主要结局:延迟出血的风险因素 (根据ED访问,入院,输血或重新干预的需要来定义).
- 用多变量逻辑回归分析来确定预测因素.
主要成果:
- 延迟出血发生在22.1%的患者中 (25/113).
- 独立预测因素包括:国际正常化比率≥1.2,高度发育不良或肌内癌,女性性别,较大的病变大小和较长的手术持续时间.
- 80%的出血事件需要重复内镜检查.
结论:
- 高度发育不良/内瘤,INR升高,女性性别,病变大小和手术持续时间是延迟出血的重要预测因素.
- 这些已识别的因素对于制定有针对性的策略来最大限度地减少囊切除术后出血至关重要.
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