在先前患病的脏上对的脏创伤的管理:一个横截面研究
Ahmed Saadi1, Jasser Maatougui1, Amine Hermi1
1Department of Urology.
Annals of medicine and surgery (2012)
|June 26, 2023
概括
患有先前病情的脏更容易受到创伤的影响,往往需要干预. 这项研究分析了37例病例,突出显示尿病和肌尿道结合综合征是常见的潜在问题,切除术的比例很高.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 创伤外科 手术 创伤外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 由于先天性或获得性病变,病态损伤在诊断和治疗方面存在独特的挑战.
- 预先存在的脏异常可能会使脏损伤的临床表现,放射学解释和治疗策略复杂化.
研究的目的:
- 研究病态损伤的临床,放射和治疗特征.
- 了解先前存在的病对创伤管理的影响.
主要方法:
- 从1992年1月到2022年2月,对37名患者病历进行了回顾性分析.
- 用超声波和计算机断层扫描 (CT) 对所有病例进行扫描.
- 根据美国创伤外科协会 (AAST) 的指导方针对受伤进行分类.
主要成果:
- 预先存在的脏异常在18.2%的患者中被发现 (203人中有37人).
- 尿病 (37.8%) 和皮叶尿路结综合征 (32.4%) 是最常见的潜在病理.
- 11例涉及手术禁用,4例紧急切除术和7例远程切除术;尿路病症治愈平均在干预后3个月.
结论:
- 患有潜在病理的脏更容易受到创伤的伤害.
- 虽然脏伤可能看起来是良性的,但病态脏的瘤切除率很高,这凸显了脏系统受损的创伤严重程度.
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