对10至20毫米大肠直肠息肉的内镜性粘膜切除进行三种电术模式的比较:随机对照试验
Su Luo1, Feng Xiong1, Sheng-Gang Zhan1
1Department of Gastroenterology, Shenzhen People's Hospital, Shenzhen, China.
Endoscopy international open
|September 11, 2025
概括
与3和4的效果相比,Endocut Q的效果2设置显著减少了在结直肠多瘤的内镜粘膜切除 (EMR) 期间的手术内出血. 所有的设置都被证明是安全和有效的去除聚合体.
科学领域:
- 胃肠病学 胃肠病学
- 内視鏡外科手術 內視鏡外科手術
- 在瘤学瘤学.
背景情况:
- Endocut Q用于结直肠多的内镜粘膜切除 (EMR).
- 临床实践缺乏关于最佳Endocut Q电术设置的共识.
- 进行了一项随机对照试验,以比较Endocut Q在多片去除方面的效果.
研究的目的:
- 评估EMR期间三个Endocut Q设置 (效果2,3和4) 的有效性和安全性.
- 为了确定最佳的电术设置,去除非形结直肠多体 (10-20毫米).
主要方法:
- 一项随机对照试验,涉及2637名患有非踏脚结直肠多的患者.
- 患者被分配到使用Endocut Q效应2,效应3或效应4的EMR.
- 主要结局:手术内出血率;次要结局:手术后出血,穿孔,切除完整性和并发症.
主要成果:
- 在基线特征或大多数次要结果 (手术后出血,穿孔,切除率,后多角切除综合征) 中没有发现显著差异.
- 与Endocut Q效应2 (4.0%) 相比,Endocut Q效应2 (4.0%) 与效应3 (12.2%) 和效应4 (12.7%) 的过程内出血率显著降低.
结论:
- 穿越效果2,3,4的Endocut Q对10-20毫米非脚结直肠多的EMR有效和安全.
- 内分泌Q效应2在减少EMR过程中的手术内出血方面表现出优越性.
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