在没有并发症的急性尾炎的成年人内镜逆行性尾炎治疗:一个系统的审查和元分析
Paya Sarraf1, Anand Prabhu1, James Love1
1Division of Internal Medicine, University of Illinois Chicago, Chicago, Illinois, USA.
iGIE : innovation, investigation and insights
|February 6, 2026
概括
内镜逆行性尾炎治疗 (ERAT) 为急性尾炎提供了一种最小侵入性的选择,显示出高成功率和最小的不良事件. 建议进行进一步的研究,以优化ERAT程序并减少肠道穿孔等并发症.
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
背景情况:
- 急性尾炎通常用腹腔镜尾切除术来治疗.
- 内镜逆行性尾炎治疗 (ERAT) 提供了一个微创的内镜替代方案.
- 这项研究评估了ERAT对无并发性急性尾炎的疗效和安全性.
研究的目的:
- 系统地审查和元分析ERAT在治疗急性尾炎的疗效.
- 评估ERAT的安全性,包括不良事件和并发症.
- 为了比较ERAT结果与已建立的尾炎治疗方法.
主要方法:
- 从PubMed/MEDLINE和Cochrane数据库中对研究进行系统审查和元分析,截至2023年6月.
- 包括8项涉及326名患有无并发性急性尾炎的患者的研究.
- 主要结果:临床和技术成功率. 二次结果:不良事件,穿孔,手术时间,住院,复发.
主要成果:
- 技术成功率高达98%和临床成功率高达99%.
- 低聚合不良事件率为1.8%和肠道穿孔率为1.5%.
- 平均手术时间为44.9分钟,平均住院时间为3.22天. 在17.7个月的随访期间,复发率为6%.
结论:
- 在治疗急性尾炎方面,ERAT表现出了卓越的技术和临床成功.
- 该程序与最小的不良事件和很低的肠道穿孔率有关.
- 需要进一步的随机对照试验来完善ERAT协议,特别是关于支架的放置,以进一步降低穿孔风险.
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