急性尾炎患者在ERAT后尾炎复发的危险因素:一项具有长期随访的多中心队列研究
Jiyu Zhang1, Haipeng Yuan2, Jianping Fan3
1Department of Gastroenterology and Hepatology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Therapeutic advances in gastroenterology
|January 14, 2026
概括
内镜逆行性尾炎治疗 (ERAT) 是一种安全有效的尾炎治疗方法,大多数复发发生在第一年内. 一个新的模型预测了1年的复发风险,以指导临床决策.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
背景情况:
- 内镜逆行性尾炎治疗 (ERAT) 为尾炎提供了一种最小侵入性治疗选择.
- 评估ERAT的长期结果对于其临床采用至关重要.
研究的目的:
- 评估ERAT对急性尾炎的长期安全性和有效性.
- 开发一种预测模型,用于ERAT后1年的尾炎复发.
主要方法:
- 一项多中心回顾性研究分析了接受ERAT的435名患者的数据.
- 拉索回归确定了复发的关键预测因素,导致基于名录的预测模型.
主要成果:
- ERAT显示了92.4%的临床成功率,随访时间中位数为37个月.
- 整体复发率为16.1%,其中13%发生在第一年内.
- 确定了8个1年复发的独立风险因素,包括年龄>60,先前的尾炎和Alvarado分数>6.
结论:
- ERAT是急性尾炎的安全有效治疗方法.
- 结合八个风险因素的预测模型可以帮助临床决策者就ERAT和复发风险做出决定.
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