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荷兰粘性小肠阻塞治疗的变化:一项前性横截面研究

Pepijn Krielen^1,2, Lisa P A Kranenburg³, Martijn W J Stommel¹

¹Department of Surgery, Radboud University Medical Center.

International journal of surgery (London, England)

|June 8, 2023

概括

粘性小肠阻塞 (ASBO) 管理影响结果. 最少侵入性手术,水溶性对比剂和在72小时内进行早期手术可以减少ASBO患者住院时间.

科学领域:

腹部外科手术腹部外科手术
胃肠病学胃肠病学
外科手术的结果

背景情况:

粘性小肠阻塞 (ASBO) 是一个常见的手术紧急情况.
它是紧急手术中发病率和死亡率的重要原因.
目前的管理策略和结果需要进一步调查.

研究的目的:

调查ASBO的当前管理.
分析相关的临床结果.
为了比较非手术管理 (NOM) 和手术干预之间的结果.

主要方法:

全国范围的前性横截面队列研究.
纳入荷兰医院的ASBO临床症状患者 (2019年4月 - 2020年12月).
对NOM,腹腔镜和开放手术90天结果的比较.

主要成果:

在510名患者中,有382人确诊ASBO.
81.4%的人最初接受了NOM; 31.1%的人需要推迟手术.
laparoscopic 手术导致较短的住院时间 (8.0天) 与开放手术 (11.0天) 相比.
溶于水的对比剂和在72小时内进行的手术减少了停留时间.

结论:

观察到较短的住院时间,用水溶性对比剂,早期手术 (<72h) 和微创手术技术.
这些发现可以指导ASBO治疗方案的标准化.
优化手术时间和方法可以改善患者的治疗结果.

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