内镜粘膜切除和阿贡血凝结对老年结肠多患者术后恢复和并发症的影响
Hong-Tao Li1, Feng Liu2, Peng-Fei Mei1
1Department of Digestive, Jiujiang University Affiliated Hospital, Jiujiang 332000, Jiangxi Province, China.
World journal of gastrointestinal surgery
|December 8, 2025
概括
与内镜粘膜切除 (EMR) 相比,阿贡血凝固 (APC) 提供更快的恢复和较低的并发症风险,用于结肠多的老年患者. 这项研究突出了APC的APC.
科学领域:
- 胃肠病学 胃肠病学
- 内镜手术是一种内镜手术.
- 老年医学 老年医学
背景情况:
- 结肠多在老年患者中构成重大挑战.
- 内镜粘膜切除 (EMR) 和血凝固 (APC) 是常见的治疗方法.
- 在老年患者中,EMR与APC的比较有效性尚不清楚.
研究的目的:
- 为了比较术后恢复,并发症和EMR和APC在患有结肠多的老年患者中的疗效.
- 根据手术时间,出血,住院,炎症标志物和复发情况来评估结果.
- 确定这个人口群体的最佳内镜方法.
主要方法:
- 对224名老年患者 (2021年1月至2024年7月) 的回顾性分析.
- 患者分为EMR和APC组.
- 操作时间,出血,住院,炎症反应,并发症和复发的比较.
主要成果:
- 在APC组中,手术时间较短 (10.63分 vs 13.27分),住院时间较短 (1.63天 vs 3.87天).
- 在APC中,手术期间出血率较低 (39.00%对52.42%) 和复发率较低 (2.00%对8.06%).
- 在APC组中观察到较低的术后炎症标志物 (PCT,CRP).
结论:
- 在患有结肠多的老年患者中,APC显示出与EMR相比的优势.
- APC有助于更好的术后恢复,减少炎症和降低并发症风险.
- 需要进一步的多中心前性研究来验证这些发现.
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