[与恶性结肠阻塞的自扩张金属支架安置相关的困难因素]
Kazuki Boda1, Hideharu Okanobu1, Tomohiko Kohno1
1Department of Gastroenterology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital.
自扩展金属支架 (SEMS) 为恶性结直肠阻塞提供了高成功率的有效治疗方法. 对从前面看不见的病变需要小心注意,以避免延长手术时间和潜在的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 在瘤学瘤学.
背景情况:
- 自扩展金属支架 (SEMS) 的内镜放置越来越多地用于恶性结直肠阻塞.
- 较长的SEMS安装程序时间可能会导致严重的并发症.
研究的目的:
- 评估SEMS安置在恶性结直肠阻塞的疗效.
- 确定在SEMS安置过程中延长程序时间的因素.
主要方法:
- 对92名因恶性结肠阻塞而接受SEMS安置的患者进行了回顾性研究.
- 分析技术和临床成功率,手术时间和不良事件.
- 多变量分析以确定技术上困难的SEMS安置的预测因素.
主要成果:
- 高技术 (95.7%) 和临床 (92.4%) 的成功率为SEMS安置.
- 平均手术时间为37分钟 (SEMS安置时间为23分钟).
- 与困难放置相关的因素包括收缩长度≥5cm和从前方看不见的病变.
结论:
- 内镜SEMS安置是恶性结直肠阻塞的有效治疗方法.
- 从前面看不见的病变是技术上具有挑战性的SEMS安置的重要预测因素.
- 仔细的程序前评估对于优化SEMS安置结果至关重要.
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