早期进行的术后内镜在胃潰瘍穿孔中的有效性
Mustafa Yilmaz1, Najmaddin Abbasli2, Uğfe Kuyucuoğlu2
1Department of General Surgery/Surgical Oncology, Faculty of Medicine, Mersin University.
Surgical laparoscopy, endoscopy & percutaneous techniques
|August 14, 2025
概括
胃潰瘍穿孔 (PUP) 手術,經常使用omental補貼,是有效的. 早期的术后内镜与活检对于在PUP治疗后检测潜在恶性瘤至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 临床医学 临床医学
背景情况:
- 胃潰瘍穿孔 (PUP) 是一個重大的臨床挑戰.
- 评估回顾性治疗结果对于改善患者护理至关重要.
- 评估早期术后内镜的作用是理解PUP管理的关键.
研究的目的:
- 为了追溯分析胃潰瘍穿孔 (PUP) 治療結果.
- 评估早期术后内镜的有效性和安全性.
- 确定手术方法与临床结果之间的相关性.
主要方法:
- 对接受PUP手术的176名患者 (2010-2024) 的回顾性分析.
- 评价人口统计数据,手术技术 (开放式与腹腔镜,部补丁,简单的闭合,胃切除) 和临床结果.
- 评估早期术后 (6-8周) 内镜检查结果,包括通过活检检查愈合,并发症,复发和恶性瘤检测.
主要成果:
- 男人占主导地位 (70.4%),平均年龄为61.2岁.
- 口腔补丁 (93.8%) 是主要的手术方法;88.3%的测试结果为Helicobacter pylori阳性.
- 手术后内镜检查显示,3.1%的病例患有恶性瘤,这凸显了这种后续检查的重要性,尽管不服药率为54.6%.
结论:
- 拉皮切除术/拉皮镜术与部补丁修复是有效的PUP治疗方法.
- 早期术后的上部胃肠道内镜检查,包括活检,对于检测潜在的恶性瘤至关重要.
- 在PUP手术后进行常规内镜后续检查可以提高诊断产量和患者安全.
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