二十年的内学扭曲在西格体卷积:失败的预后因素失败
Thanat Tantinam1,2,3, Suradet Buakhrun2, Punnawat Chandrachamnong2
1Surgical Unit, Phatthalung Hospital, Mueang Phatthalung, 93000, Thailand.
Surgical endoscopy
|July 14, 2025
概括
对于sigmoid volvulus的内镜扭曲具有很高的失败率. 患有大直径 (≥6.8厘米) 和低BMI (<18.5公斤/米2) 的患者是该程序的不佳候选人.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 临床结果 临床结果
背景情况:
- 内镜扭曲是对西格体卷曲的首要治疗方法.
- 治疗失败需要紧急手术,增加患者的发病率.
- 识别扭曲失败的预测因素对于改善患者的治疗结果至关重要.
研究的目的:
- 确定预测在西格体卷积患者内镜扭曲失败的因素.
- 优化管理策略,提高患者的治疗结果.
主要方法:
- 对49名患者进行了回顾性队列研究,这些患者因西格体卷积而经历了内镜变形.
- 收集的数据包括人口,临床和放射学因素.
- 统计分析包括回归,DAG和ROC分析.
主要成果:
- 在38.8%的患者中,内镜扭曲失败了.
- 体重指数≥18.5公斤/平方米与较低的失败几率相关 (aOR:0.12).
- 口直径≥6.8厘米增加了失败风险 (aOR:5.35).
- 失败的扭曲导致了更高的骨髓切割率 (61.1%对4.5%).
结论:
- 直径≥6.8厘米和BMI<18.5公斤/平方米的患者是内学扭曲的不良候选人.
- 对于这些高风险患者,应考虑早期手术干预.
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