Am J Gastroenterol:经口内镜肌切开术安全性研究

2017-05-28 zhangfan MedSci原创

三级医疗中心进行的经口内镜肌切开术是相对安全的,总的不良事件率为7.5%,严重不良事件较为罕见

目前经口内镜肌切开术(POEM)的安全性仍存在争议。近日研究人员对此开展POEM相关的风险因素研究。

本研究涉及2009年至2015年间,12个三级医疗中心的POEM患者。任何与POEM 相关的不良事件均纳入研究并采用年龄、性别和疾病程度相仿的患者作为对照。

共1826名POEM患者,其中的137人(7.5%)发生了156起不良事件,51起无伤害的小意外(2.8%),温和、中度和严重不良事件分别发生116起(6.4%)、31起 (1.7%)和9起(0.5%)。多因素分析表明,乙状结肠型食管(比值比2.28,P = 0.05),内镜医师的经验不足(1.98,P = 0.04),使用三角刀(3.22,P = 0.05)以及电喷雾电流异常(3.09,P = 0.02)与不良事件的发生显著相关。

研究认为在三级医疗中心进行的经口内镜肌切开术是相对安全的,总的不良事件率为7.5%,严重不良事件较为罕见。

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    2017-07-06 许安
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    2017-05-30 docwu2019
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    2017-05-28 忠诚向上

    好好努力学习

    0

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    2017-05-28 有备才能无患

    研究认为在三级医疗中心进行的经口内镜肌切开术是相对安全的,总的不良事件率为7.5%,严重不良事件较为罕见。

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    2017-05-28 楠博One

    微创手术值得推广

    0