透过结肠内镜尾切除术:一种单步"二合一"的方法,用于复发性尾炎与尾孔病变
Hao Wu1, Zhu Kai Chen1, Ai Ping Xu1
1Endoscopy Center, Shanghai East Hospital, Tongji University, Shanghai, China.
Journal of digestive diseases
|February 27, 2026
概括
穿越结肠内镜尾切除术 (TEA) 提供了一种安全有效的微创性治疗,用于尾孔病变的复发性尾炎. 使用透视镜双剪贴与金属剪贴相结合,简化了关闭过程,减少了程序时间和剪贴使用量.
科学领域:
- 胃肠病学 胃肠病学
- 最少侵入性的手术
- 内镜手术 进行内镜手术
背景情况:
- 在患有复发性尾炎的患者中,尾孔病变可能发生.
- 传统的手术可能涉及不必要的创伤.
- 跨结肠内镜尾切除术 (TEA) 是一种建议的微创替代方案.
研究的目的:
- 评估TEA的可行性,安全性和有效性.
- 为了比较两个关闭方法的有效性:透视镜双片 (TTS-TC) 加金属片与单独的金属片.
主要方法:
- 20名患有复发性尾炎且没有先前腹部手术的患者接受了TEA.
- 分析了临床,病理和程序变量.
- 结果比较了TTS-TC加金属片和金属片单独用于缺陷关闭的结果.
主要成果:
- 所有的TEA程序在技术和临床上都取得了成功.
- 与单独使用金属片相比,TTS-TC加金属片组的接时间,手术时间和使用片的数量减少.
- 没有报告任何不良事件,随访结肠镜检查显示没有残留病变或复发.
结论:
- 尾炎是一种可行的,安全和有效的治疗方法,用于尾孔病变的复发性尾炎.
- TEA提供了一种具有双重效益的最小侵入性方法.
- 使用TTS-TC结合金属片的新型关闭方法可以简化程序.
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