周围的床边排水:这是安全和有效的吗?
Michael Goldenshluger1, Carmel Margalit2, Afek Kodesh2
1Department of General Surgery C, Sheba Medical Center, Tel Hashomer, Israel.
The Israel Medical Association journal : IMAJ
|July 18, 2023
概括
床边切口和排水 (I&D) 对于小围腹提供了一个更快的治疗选择. 这种急诊室手术显示了与手术室干预相比较的长期结果.
科学领域:
- 医学科学 医学科学 医学科学
- 手术手术手术手术手术手术手术手术手术手术
- 紧急医疗 紧急医疗
背景情况:
- 周围需要迅速切割和排水 (I&D).
- 在急诊室 (ED) 和手术室 (OR) 的床边进行I&D的安全性和有效性仍在争论中.
- 人们担心在床边手术过程中检查和暴露可能受到损害.
研究的目的:
- 为了比较围腹I&D的结果,在ED和OR的床边进行了I&D.
- 评估I&D位置对治疗疗效和长期并发症的影响.
主要方法:
- 在2018年1月至2020年3月期间治疗的248名患有围的患者的回顾性评估.
- 排除标准包括克罗恩病,马或反复.
- 在ED和OR I&D组之间比较患者人口统计学,的特征,干预时间以及短期和长期结果.
主要成果:
- 与OR组 (n=151) 相比,在床边进行I&D的患者 (n=97) 的腹较小,发烧较少,炎症标志物较低.
- 从诊断到干预的时间对于床边I&D (2.13小时) 与OR I&D (10.41小时) 相比显著更短.
- 在24个月的随访中,床边I&D的同步 (0%对7.3%),复发 (11.3%对19.9%) 和形成 (6.2%对15.23%) 的比率较低.
结论:
- 床边I&D是一种安全有效的替代方法,用于治疗小,初级的围.
- 这种方法可以显著减少患者的等待时间,而不会增加长期并发症.
- 发烧和出现时的较大大小是晚期形成的危险因素.
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