阿贡血凝固与胃腺瘤治疗的内镜切除:系统性审查和元分析
Jae Gon Lee1, Jin Hwa Park2, Sang Pyo Lee2
1Department of Internal Medicine, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri, Korea.
概括
胃腺瘤的阿贡血凝固 (APC) 显示出比内镜切除 (ER) 更高的复发率,但并发症较少. APC可能是胃腺瘤的替代治疗选择.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 在瘤学瘤学.
背景情况:
- 内镜切除 (ER) 是胃腺瘤的标准治疗方法.
- 阿贡血凝固 (APC) 是另一种选择,但其有效性和安全性需要进一步评估.
研究的目的:
- 在胃腺瘤治疗中,系统地审查和元分析APC与ER相比APC的疗效和安全性.
主要方法:
- 在PubMed,EMBASE和Cochrane图书馆搜索到2024年4月.
- 包括评估胃腺瘤APC或ER临床结果的研究.
- 主要结果:局部复发率;次要结果:手术时间,住院时间,并发症.
主要成果:
- 包括7项研究 (4项比较,3项单臂).
- 在APC中,局部复发率较高 (RR 4.378),但手术时间和住院时间较短.
- 与ER相比,APC也有较少的并发症 (RR 0.329).
结论:
- APC导致更多的局部复发,但并发症风险低于ER.
- APC为胃腺瘤提供了潜在的替代治疗方法.
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