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管理Littre Hernia病例报告和对病例报告的系统审查

Marian Răcăreanu¹, Silviu Daniel Preda¹, Agnesa Preda²

¹Faculty of Medicine, Department of Surgical Specialities, University of Medicine and Pharmacy of Craiova, 200349 Craiova, Romania.

Journal of clinical medicine

|June 10, 2023

概括

小,一种罕见的病症,涉及梅克尔膜在囊,往往呈现的并发症,如窒息. 手术管理包括梅克尔分泌管或肠切除,即使在复杂的病例中,也可以采用最小侵入性的方法.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
椎间板手术手术椎间板手术

背景情况:

小是一个罕见的病症,在囊中存在梅克尔分泌体.
关于这种罕见的类型的人口统计和手术管理的数据有限.

研究的目的:

评估Littre的手术管理和结果.
评估人口特征,表现和复发率.

主要方法:

对成年Littre病例的PubMed数据库进行系统审查.
分析了89篇文章中的98个案例,包括一个案例报告.
收集有关人口统计,表现,手术方法和结果的数据.

主要成果:

高的手术后并发症率,在38.46%的患者中出现了窒息.
用于大腿, inguinal 和椎间的 laparoscopic 方法.
梅克尔分泌管切除 (MD切除) 是最常见的,其次是肠切除;5.48%未切除.
在接受肠切除的患者中,死亡率为8.7%.
检测出了子宫外组织 (21.21%), (12.12%) 和瘤 (9.09%).
在平均19.5个月的随访期间,没有观察到的复发.

结论:

小通常需要紧急入院,并与相关的肠道阻塞有关.
最少侵入性手术是复杂的Littre的可行选择.
手术方法 (MD切除与肠切除) 取决于缺血程度;肠切除与较差的结果有关.

关键词:

有点小的.肠道肠道肠道肠道一个案例的案例.这样一来,就有了分流器 (diverticulum).梅克尔 (Meckel) 是一个著名的作家.结果就是结果.报告报告报告报告报告.系统性审查系统性审查

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