在干膜切除后的患者中,在干膜逆转之前,是否应该定期进行门测量?
Mufaddal Kazi1,2, Bhushan Jajoo1,2, Jitender Rohila1,2
1Division of Colorectal Surgery, Department of Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
概括
在骨髓逆转之前的直肠测量 (ARM) 不能预测直肠切除 (ISR) 后的肠功能. 没有与较低前切除综合征 (LARS) 或失禁得分相关的测量参数,这表明ARM在这个患者群体中的实用性有限.
科学领域:
- 结肠直肠外科手术是什么意思
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 直肠测量仪 (ARM) 用于评估直肠功能.
- 它在预测肠外切除 (ISR) 和口腔逆转后肠功能中的实用性是不确定的.
- 低前切除综合征 (LARS) 和失禁是ISR后的常见问题.
研究的目的:
- 为了评估在接受ISR的患者中,前瘤逆转ARM的预测价值.
- 为了确定测量力度参数是否与长期肠道功能结果相关.
主要方法:
- 89名ISR患者的回顾性分析,这些患者在骨髓逆转之前接受了ARM.
- 使用LARS和Wexner incontinence评分评估的肠功能至少在逆转后6个月.
- 测力参数和功能结果得分之间的相关统计.
主要成果:
- 在任何ARM参数 (基底/挤压压力,门通道长度等) 之间没有发现显著的相关性. 和LARS或 incontinence 的分数.
- 51.7%的患者患有任何LARS,16.9%患有严重的失禁.
- 基底和挤压压力的中位数分别为41和100mmHg.
结论:
- 在骨逆转之前进行的ARM并不是在ISR患者6个月或更长时间内肠道功能的有帮助的预测指标.
- 没有任何特定的测量参数可靠地预测LARS或ISR和骨髓逆转后的失禁.
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