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直接可视化内镜逆行性尾炎治疗与腹腔镜尾切除治疗急性无并发性尾炎
Jun-Yu Pan1, Hui-Xin Zhi1, Jie-Li Chen1
1Department of Gastroenterology, The Second Clinical Medical College of Jinan University, Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, 518020, Guangdong, China, shenzhen, China.
Endoscopy international open
|August 27, 2025
概括
与传统方法相比,直接可视化内镜逆行性尾炎治疗 (ERAT) 是急性无并发性尾炎的安全和有效的内镜替代方案,显示较短的手术时间和更快的疼痛缓解.
科学领域:
- 胃肠病学
- 最少侵入性的手术
- 内镜治疗方法
背景情况:
- 治疗急性无并发性尾炎通常需要手术.
- 内镜逆行性尾炎治疗 (ERAT) 是一个不断发展的内镜技术.
- 直接可视化ERAT增强了常规ERAT的胆管镜指导.
研究的目的:
- 评估直接可视化ERAT的临床疗效和安全性
- 将直接可视化ERAT与腹腔镜尾切除术 (LA) 对急性无并发性尾炎进行比较.
主要方法:
- 对656名疑似尾炎患者的回顾性分析.
- 直接可视化ERAT的34名患者和LA的68名患者.
- 关键结果包括成功率,手术时间,疼痛缓解,住院,复发,不良事件和满意度.
主要成果:
- 技术上的成功率为ERAT的97.06%和LA的100%.
- 临床成功率为ERAT的94. 12%和LA的100%.
- ERAT显示手术时间显著缩短,疼痛缓解更快,不良反应和住院时间相似.
结论:
- 在急性无并发性尾炎中,直接可视化ERAT是可行的和有效的.
- 它是传统治疗的有前途的内镜替代方案.
- 进一步的研究可能会巩固其在尾炎治疗中的作用.
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