在中型 (5-10厘米) 肝中,针吸入与导管排水相比:印度孟买的一项比较研究
Solai Muthu Rajagopal S1, Girish Bakhshi1, Gayatri A Muley1
1General Surgery, Grant Government Medical College and Research Institute, Mumbai, IND.
Cureus
|June 1, 2023
概括
与导管排水相比,对中度肝的超声导针吸收导致疼痛减少,住院时间缩短,并更快地返回工作. 这使得它成为首选的初始干预治疗,特别是在发展中国家.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 肝是一种古老的疾病,死亡率很高.
- 干预排水改善了结果,但对中型的最佳方法仍在争论中,特别是在资源有限的环境中.
研究的目的:
- 为了比较超声指导针吸入与导管排水对于中等大小的肝.
- 评估包括疼痛,住院,工作假期和复发在内的结果.
主要方法:
- 一项针对60名患有中度 (5-10厘米) 肝的患者的随机研究.
- 患者被分为两组:针吸入或导管排水,接受相同的医疗治疗.
- 测量结果包括止痛药的使用,住院时间,工作假期时间和复发率.
主要成果:
- 这两组的成功率相似 (80%和84%).
- 针吸收显著减少了对止痛药的需求,住院时间 (9.3 vs. 14.8天) 和工作假期 (18.9 vs. 32.5天) (p<0.05).
结论:
- 穿皮针吸收是适度大小的肝的主要干预治疗方法.
- 建议进一步进行多中心随机试验,以证实这些发现.
相关概念视频
Endoscopic Studies II: Thoracocentesis
363
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
363
Acute Pyelonephritis II: Diagnostic Studies and Management
20
Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
20


