光镜对于食道SEMS安置是必要的吗? 一个回顾性队列研究
Luís Miguel Relvas1, Tânia Gago1, Sónia Barros1
1Gastroenterology, Unidade Local de Saúde do Algarve - Unidade de Faro, Portugal.
Revista espanola de enfermedades digestivas
|September 29, 2025
概括
自扩张金属支架 (SEMS) 放置用于食道疾病是安全有效的,使用内镜 (EC) 或光镜 (FC) 控制. 这两种方法在现实环境中都显示出相似的技术成功,并发症率和生存结果.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 在瘤学瘤学.
背景情况:
- 自扩张的金属支架 (SEMS) 对于管理恶性食道疾病至关重要.
- 放置技术包括内镜 (EC) 和光镜 (FC) 控制.
- 这些指导方法的比较结果数据有限.
研究的目的:
- 为了比较由EC与FC指导的SEMS安置的安全性和有效性.
- 在现实世界的临床环境中评估结果.
主要方法:
- 对103名接受食道SEMS安置 (2011-2023) 的成年患者进行了回顾性观察研究.
- 根据指导方法将患者分为EC或FC组.
- 评估结果:技术成功,早期/晚期并发症和整体存活率.
主要成果:
- 对于EC (97%) 和FC (100%) 的技术成功率都很高.
- 在早期 (53% EC vs. 49% FC) 或晚期并发症率 (28% EC vs. 31% FC) 中没有显著差异.
- 类似的中位生存期 (102天EC与113天FC) 和低的30天死亡率.
结论:
- 使用EC或FC的SEMS安置对于食道疾病是安全有效的.
- 在EC和FC之间的技术成功,并发症或生存率方面没有观察到任何显著差异.
- 内镜指导提供了一个可行的替代方案,特别是在资源有限的环境中.
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