评估不同内透镜多斑切除术技术对结肠的疗效和安全性
De-Hui Ji1,2, Zhong-An Guan3
1The First Clinical Medical College, Shandong University of Traditional Chinese Medicine, Jinan 250014, Shandong Province, China.
冷陷多角切除术 (CSP) 对于结直肠多瘤是最安全的,提供最低的复发率. 高频电切除 (HFE) 提供高R0切除,但更多的不良事件. 内镜粘膜切除 (EMR) 是用于大型多重体.
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
- 瘤学 预防 预防
背景情况:
- 结肠直肠多角切除术对于预防结肠直肠癌至关重要.
- 有限的比较数据存在于各种内透视多面切除技术.
研究的目的:
- 为了比较高频电切除 (HFE),冷陷多角切除 (CSP) 和内镜粘膜切除 (EMR) 对于结肠的疗效和安全性.
主要方法:
- 对107个HFE,106个CSP和108个EMR程序进行了回顾性队列研究.
- 评估切除状态,不良事件,术后疼痛和12个月复发率.
主要成果:
- CSP具有最高的块切除率;HFE具有更高的R0切除率.
- CSP显示出最好的安全性,并发症发生率最低.
- 对于较大的息肉,使用EMR,与CSP相比,复发率更高.
结论:
- 由于其安全性和低复发率,建议使用CSP.
- HFE提供高R0切除,但增加了不良事件的风险.
- 对于大息肉来说,EMR至关重要,因此需要根据息肉和患者因素进行量身定制的技术选择.
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