在内镜超声波引导细针活检后早期食的安全性:一项回顾性研究
Bo Kyeong Lee1, Byung Soo Kwan2, Kwang Min Kim1
1Department of Internal Medicine, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, 158, Paryong-ro, Masanhoewon-gu, Changwon-si, Gyeongsangnam-do, Republic of Korea.
BMC gastroenterology
|April 24, 2025
概括
胰腺疾病的内超声导向细针活检 (EUS-FNB) 后的早期养可以缩短住院时间,而不会增加并发症. 这种方法为患者的康复和医院资源管理提供了临床益处.
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.
- 手术瘤学手术瘤学
背景情况:
- 透视超声引导细针活检 (EUS-FNB) 是胰腺疾病的标准诊断工具.
- 目前的指南缺乏关于EUS-FNB后最佳养方案的共识.
- 早期养可能具有临床优势,但其安全性和有效性需要评估.
研究的目的:
- 评估EUS-FNB后早期养的有效性和安全性.
- 为了比较早期养和禁食组之间的住院时间.
- 确定早期养对并发症率的影响.
主要方法:
- 对110名接受胰腺疾病EUS-FNB治疗的患者的回顾性分析.
- 患者被分为早期食 (4小时内) 和禁食 (24小时) 组.
- 医院住院时间 (与手术相关的和总的) 和并发症率进行了比较.
主要成果:
- 早期养和禁食组之间并发症率没有显著差异.
- 早期养组显示,与手术相关的住院时间显著缩短 (3.8 vs 4.9 天).
- 多变量分析证实,早期养没有增加并发症风险 (OR 0.83,P=0.877).
结论:
- 在EUS-FNB后早期养是安全的,不会增加并发症风险.
- 实施早期养可以减少住院时间.
- 早期食对于接受EUS-FNB的患者来说是一个临床上有益的策略.
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