成年人的外体:对病例报告的系统审查
Hashim E Elmansi Abdalla1, Hussameldin M Nour2, Muhammad Qasim2
1Department of General Surgery, New Cross Hospital, Wolverhampton, GBR.
Cureus
|July 10, 2023
概括
吞异物 (FBs) 可以导致成年人的尾炎. 建议在检测到的尾FB时进行预防性尾切除,即使是在无症状的情况下,以防止并发症.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 医疗成像医学成像
背景情况:
- 异物 (FB) 很少被摄入,并可能导致成年人尾炎.
- 异物尾炎是一种不常见但重要的临床实体.
研究的目的:
- 审查成年人尾外体的类型和管理策略.
- 分析外体尾炎的诊断方式和结果.
主要方法:
- 对18岁以上患者异物尾炎病例报告的系统审查.
- 在主要的医学数据库 (PubMed,MEDLINE,Embase,Cochrane Library,Google Scholar) 中进行全面的文献搜索.
主要成果:
- 包括64份病例报告,患者平均年龄为44.3岁.
- 常见的附录FB包括射颗粒,鱼骨和牙签.
- 计算机断层扫描 (CT) 在59%的病例中检测到FB,而X射线扫描则为30%.
- 11名患者出现了尾穿孔,鱼骨和牙是常见的罪祸首.
- 91%的患者进行了外科尾切除手术.
结论:
- 附录中的异物会导致炎症和穿孔.
- 建议在尾中无症状的异物时进行预防性尾切除术,以防止并发症.
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