BILE:一篇基于文献的文献综述,对阳性胆道损伤的新型临床分类和治疗算法
Dimitrios Symeonidis1, Konstantinos Tepetes1, George Tzovaras1
1Department of Surgery, University Hospital of Larisa, Mezourlo, 41221 Larisa, Greece.
Journal of clinical medicine
|June 10, 2023
概括
这一审查引入了BILE分类,这是一个新的系统来管理阳性胆道损伤 (IBDI). 这种简单的临床方法指导了基于受伤严重程度和后果的治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 医学分类系统 医学分类系统
背景情况:
- 阳性胆道损伤 (IBDI) 带来了重大管理挑战.
- 现有的IBDI分类系统缺乏临床实用性或全面的解剖相关性.
- 需要一个实用和有效的IBDI分类系统.
研究的目的:
- 提出一种新的,以临床为导向的胆道损伤 (IBDI) 胆道损伤分类系统.
- 开发一个系统,以帮助IBDI患者的管理和治疗计划.
- 审查现有文献,以建立新的分类.
主要方法:
- 进行了系统的文献审查.
- 在PubMed,Scopus和Cochrane图书馆进行了文献搜索.
- 为了开发分类系统,分析了相关文献.
主要成果:
- 为IBDI开发了一个五阶段 (A-E) 的分类系统,称为BILE分类.
- BILE分类的每个阶段都与推的治疗策略有关.
- 该分类包含使用斯特拉斯伯格分类的解剖细节.
结论:
- 比尔分类是IBDI的一种新,简单和动态的系统.
- 它侧重于IBDI的临床影响,以指导治疗决策.
- 这种分类为管理IBDI提供了一个明确的行动图.
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