术术实践的参数,以最终管理的sacrococcygeal柱状鼻疾病:外科医生的观点
Munyaradzi G Nyandoro1,2, Mary Teoh3, Andrew Thompson4
1General and Colorectal Surgery, Fiona Stanley Hospital, Perth, AUS.
Cureus
|May 30, 2023
概括
在外科医生之间,对神经囊柱状鼻疾病 (SPD) 的手术治疗有很大的差异. 目前的做法包括广泛的局部切除与非中线初级关闭,但没有.
科学领域:
- 一般外科 整体外科
- 结肠直肠手术 结肠直肠手术
- 手术结果研究研究.
背景情况:
- 圣骨状鼻疾病 (SPD) 是一种普遍的疾病,主要影响年轻男性.
- 目前的SPD手术管理策略表现出相当大的变化.
- 这项研究调查了西澳大利亚SPD的当代外科实践.
研究的目的:
- 审查和分析当前的外科实践参数,以管理神经囊骨柱状鼻疾病 (SPD).
- 确定外科医生的偏好,结果和影响SPD治疗的因素.
- 强调需要在SPD护理中制定标准化指导方针.
主要方法:
- 一项非识别调查 (30项,多重响应,排名,二分法,定量,定性) 分发给西澳大利亚的115名整体/结肠直肠外科研究员.
- 调查数据使用SPSS版本27进行分析.
- 响应率为66% (N=77),主要包括高级,低体积的从业者.
主要成果:
- 大多数外科医生进行广泛的局部切除 (94%) 与非中线初级关闭 (70.1%) 进行局部疾病控制.
- 自我报告的复发,感染和脱菌率分别为10%,10%和15%.
- 高级外科医生和低体积的医生表现出不同的技术偏好,在低体积的环境中倾向于次要的意图.
结论:
- SPD的外科治疗仍然非常多变,中线切除和中线外关闭是常见的做法.
- 影响技术选择的因素包括患者的并发症,合规性,疾病特征和外科医生的经验.
- 迫切需要基于证据的指导方针,以确保SPD的一致和有效管理.
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