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尾病变内镜切除的有效性和安全性. 一个西班牙的多中心研究
Laura Gutiérrez-Ríos1, Raquel Muñoz-González2, Miguel Fraile-López3
1Endoscopy Unit. Gastroenterology , Hospital Universitari Germans Trias i Pujol, Spain.
Revista espanola de enfermedades digestivas
|January 22, 2026
概括
尾孔 (AO) 病变的内镜切除是有效和安全的,尽管复发率需要长期监测. 需要对深层AO病变和延迟尾炎进行进一步的研究.
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:
- 尾孔 (AO) 病变带来了独特的管理挑战.
- 内镜切除是这些病变的新兴治疗选择.
研究的目的:
- 评估内镜切除对AO病变的疗效和安全性.
- 为了确定复发率和切割后进一步干预的需要.
主要方法:
- 在8个西班牙中心 (2016-2023) 进行了97次AO损伤切除术的回顾性分析.
- 技术包括内镜粘膜切除 (EMR),水下EMR (UEMR),内镜全厚切除和内镜亚粘膜切除.
- 随访包括至少12个月的临床评估和监视结肠镜检查.
主要成果:
- 技术成功率为93%,其中48%是脑内切除. 在程序内并发症很少 (出血,穿孔).
- 在中位数23个月的随访期间,观察到25%的复发率,与零碎切除相关.
- 在12例病例中,手术是必要的,主要是由于不完全切除或残留腺瘤. 延迟尾炎发生在2例病例中.
结论:
- 内镜切除是一种可行且安全的方法,用于AO病变.
- 高复发率强调了长期内镜监测的重要性.
- 对于深层AO病变和延迟尾炎的最佳管理策略需要进一步调查.
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