基于倾向性评分匹配法的日间消化内镜超级微创手术治疗直肠神经内分泌肿瘤的疗效评价  

Effect evaluation of day endoscopic super minimally invasive surgery for rectal neuroendocrine tumors based on propensity score matching method

作　　者：朱芮晴 张荣贵[1] 冯秀雪[1] 张波[1] 刘圣圳 柴宁莉[1] 令狐恩强[1] Zhu Ruiqing;Zhang Ronggui;Feng Xiuxue;Zhang Bo;Liu Shengzhen;Chai Ningli;Linghu Enqiang(Department of Gastroenterology,The First Medical Centre of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心消化内科医学部,北京100853

出　　处：《中华胃肠内镜电子杂志》2024年第3期166-170,共5页Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition)

基　　金：国家重点研发计划(2022YFC2503600)

摘　　要：目的应用倾向性评分匹配法评价实施日间手术模式的消化内镜超级微创手术(SMIS)治疗直肠神经内分泌肿瘤(NETs)的疗效。方法回顾性分析2023年2月至2024年1月经解放军总医院第一医学中心消化内科因直肠NETs行内镜下治疗的90例患者的临床资料并分为日间手术组(21例)及病房手术组(69例),利用倾向性评分匹配法均衡两组混杂因素后分析匹配后的数据。结果匹配后两组各包含20例患者,两组一般资料对比均无统学差异。日间手术组病变完整切除率、整块切除率及并发症发生率与病房组无统计学差异,但住院时间及住院费用较病房手术组更低。结论实施日间手术模式的消化内镜SMIS治疗直肠NETs是安全有效的,并可有效减少住院时间及住院费用,减轻了患者的时间及经济成本。Objective To evaluate the efficacy of the implementation of day endoscopic super minimally invasive surgery(SMIS)for rectal neuroendocrine tumors(NETs)based on the propensity score matching method.Methods A retrospective analysis was conducted on the clinical data of 90 patients who underwent SMIS for rectal NETs in the Gastroenterology Department of the First Medical Center of the Chinese PLA General Hospital from February 2023 to January 2024.The patients were divided into a day surgery group(21 cases)and an inpatient surgery group(69 cases).The propensity score matching method was used to balance the confounding factors between the two groups,and then statistical analysis was performed to evaluate the matched data.Results After PSM,each group contained 20 patients,and there were no statistical differences in general information between the two groups.Compared with the inpatient surgery group,the day surgery group showed no statistical difference in the rates of complete resection,en bloc resection,and complication occurrence.However,the length of hospital stay and hospitalization costs were lower in the day-time surgery group.Conclusion The implementation of day endoscopic super minimally invasive surgery for rectal neuroendocrine tumors is safe and effective,reducing the time of hospital stay and hospitalization costs,thus alleviating the time and economic burden for patients.

关 键 词：直肠神经内分泌肿瘤 日间手术模式 超级微创手术 疗效 

分 类 号：R73[医药卫生—肿瘤]