诊断的及时性是结肠镜穿孔后的主要预后因素。
Promptness of diagnosis is the main prognostic factor after colonoscopic perforation.
机构信息
Faculty of Medicine and Psychology, Surgical Department of Clinical Sciences, Biomedical Technologies and Translational Medicine, Sant'Andrea Hospital, University of Rome 'Sapienza', Rome, Italy.
出版信息
Colorectal Dis. 2012 Jan;14(1):e23-6. doi: 10.1111/j.1463-1318.2011.02755.x.
AIM
The authors present their experience of colonoscopic perforation and its management, with an analysis of factors affecting outcome.
METHOD
During the last 10 years, 22 cases of colonoscopic perforation (CP) were identified in two different institutions. Multiple logistic regression analysis was used to identify significant predictors of morbidity and mortality.
RESULTS
Morbidity and mortality rates were 31% and 13.6%, respectively. Prompt diagnosis was the most powerful predictor of outcome of CP. Multiple logistic regression analysis showed that morbidity and mortality were significantly related to a delay in diagnosis of more than 24 h (P = 0.03 and P = 0.04).
CONCLUSION
The results emphasize the importance of prompt assessment of a patient who develops symptoms after colonoscopy.
目的
作者介绍了他们在结肠镜穿孔及其处理方面的经验，并分析了影响预后的因素。
方法
在过去的 10 年中，在两个不同的机构中确定了 22 例结肠镜穿孔（CP）病例。使用多变量逻辑回归分析来确定发病率和死亡率的显著预测因素。
结果
发病率和死亡率分别为 31%和 13.6%。及时诊断是 CP 预后的最强预测因素。多变量逻辑回归分析显示，诊断延迟超过 24 小时与发病率和死亡率显著相关（P = 0.03 和 P = 0.04）。
结论
这些结果强调了对结肠镜检查后出现症状的患者进行及时评估的重要性。
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