转移实践:转向左侧和右侧急性恶性大肠阻塞 (LBO) 的支架第一方法
Emily Farrow1,2, Shona Gardner3, Neil Collin3
1North Bristol NHS Trust, Bristol, UK. emily.farrow1@nhs.net.
Surgical endoscopy
|August 26, 2025
概括
结肠支架是一种对恶性大肠阻塞 (LBO) 的安全有效的治疗方法,可减少口腔形成和住院时间. 这种方法为超过80%的患者提供了可行的紧急手术替代方案.
科学领域:
- 胃肠病学
- 外科瘤学
- 大肠直肠手术
背景情况:
- 恶性大肠阻塞 (LBO) 传统上通过紧急手术 (ES) 进行治疗.
- 评估向左侧和右侧结肠的支架第一战略的转变.
研究的目的:
- 评估恶性LBO的支架第一方法的安全性和有效性.
- 对比结肠支架与恶性LBO的ES结果.
主要方法:
- 在急性NHS医院信任中进行的回顾性队列研究 (2019-2022年).
- 分析了接受结肠支架的68名患者和接受初级ES的29名患者.
- 共同的主要结局:成功的肠道减压和30天的死亡率.
主要成果:
- 在77. 9%的患者中实现了成功的减压.
- 30天死亡率:用于支架的7. 4%,用于ES的6. 9%.
- 在缓解和治愈的病例中,支架显著降低了口腔瘤的发生率和开放手术.
结论:
- 结肠支架可用于>80%的恶性LBO患者,即使没有24小时的轮班.
- 主要的支架导致口腔形成,开放性手术和停留时间减少.
- 支架可以改善息性和治愈性恶性LBO治疗的结果.
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