特恩布尔-卡泰特拉透手术是患有复杂盆腔的患者永久性静止术的替代方案
Olga A Lavryk1, Carla F Justiniano, Bethany Bandi
1Department of Colorectal Surgery, Cleveland Clinic, Cleveland, Ohio.
Diseases of the colon and rectum
|June 28, 2023
概括
特恩布尔-库泰特拉透手术在85%的病例中成功治疗复杂的直阴道抽,为有动机的患者提供永久性静脉口腔的替代方案. 这种救援操作可以在其他重建方法失败时保持肠道连续性.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 胃肠病学 胃肠病学
- 盆地底疾病 盆地底疾病
背景情况:
- 复杂和反复复发的直阴囊往往需要永久的口腔,因为重建性失败率很高.
- 特恩布尔-库泰特拉通手术作为一个关键的救援选项,为患者,旨在避免永久的便转移.
研究的目的:
- 为了评估特恩布尔-库泰特拉透手术在治愈复杂的直阴囊的疗效.
- 根据直阴道的根本原因分析治愈率.
主要方法:
- 在1993年至2018年期间,对接受了Turnbull-Cutait拉通手术的女性进行了回顾性审查.
- 分析患者人口统计,病因和术后结果,包括复发率.
主要成果:
- 特恩布尔-库泰特拉透程序在研究的队列中 (n=26) 实现了直阴囊的85%治愈率.
- 在15%的患者中观察到复发,在手术后6个月的累计发病率为8%,在手术后12个月的累计发病率为12%.
- 患有克罗恩氏病相关囊的患者的治愈率达到75%.
结论:
- 特恩布尔-库泰特拉透手术是一种可行的,有效的最后手段,可以保持肠道连续性,并成功治疗复杂的直阴道.
- 这种手术为治愈提供了显著的机会,可能避免需要永久性口腔.
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