粘性小肠阻塞的非手术治疗成功的预测因素
Zi Qin Ng1, Vivien Hsu2, William Wei Han Tee3
1Department of General Surgery, St John of God Midland Hospital, Midland 6056, Western Australia, Australia. kentng@hotmail.co.uk.
World journal of gastrointestinal surgery
|July 5, 2023
概括
确定了成功非手术治疗粘性小肠阻塞 (SBO) 的预测因素. 计算机断层扫描的发现可以指导早期手术干预,防止SBO患者的并发症.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 放射学 放射学是一门学科.
背景情况:
- 粘性小肠阻塞 (SBO) 经常需要非手术治疗.
- 很大一部分具有粘性SBO的患者对非手术治疗没有反应.
研究的目的:
- 确定粘性小肠阻塞 (SBO) 患者成功非手术治疗的预测因素.
主要方法:
- 从2015年11月到2018年5月,对252名具有粘合性SBO患者进行了回顾性分析.
- 患者被分为操作 (A组) 和非操作 (B组) 组.
- 影像研究是由一个盲目放射科医生独立审查的.
主要成果:
- 两组之间没有观察到临床特征或炎症标志物的显著差异.
- 手术干预的成像预测因素包括一个明确的过渡点,自由液体和小肠便迹象的缺失.
- 结肠中对比的证据预测了成功的非手术治疗 (OR = 3.83,P = 0.001).
结论:
- 计算机断层扫描 (CT) 的发现可以帮助确定在粘合性SBO中早期手术干预的必要性.
- 识别不太可能通过非手术治疗成功的患者,可以预防相关的发病率和死亡率.
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