在恶性胆道阻塞中,内部与外部胆道排水:感染率是否有差异?
Gokhan Ongen1, Omer Fatih Nas1, Kadir Hacikurt2
1School of Medicine, Department of Radiology, Bursa Uludag University, Bursa, Turkey.
Acta radiologica (Stockholm, Sweden : 1987)
|August 23, 2023
概括
在患有恶性胆道阻塞的患者中,内部-外部胆道排水与外部胆道排水相比不会增加感染风险. 这项研究发现,两种穿皮胆道排水方法之间的感染率没有显著差异.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 穿皮胆道排水对于管理胆道阻塞至关重要.
- 它为受影响的患者提供了关键的胆管减压.
研究的目的:
- 为了比较内部-外部和外部胆道排水之间的感染风险.
- 调查排水类型对恶性胆道阻塞感染的影响.
主要方法:
- 410名患有恶性胆道阻塞的患者的回顾性分析.
- 内部-外部与外部胆道排水导管结局的比较.
- 通过临床发现,培养和血液检测评估的感染频率.
主要成果:
- 两组之间患者人口统计或治疗特征没有显著差异.
- 与导管相关的感染发生在22.7% (内部-外部) 和14.2% (外部) 的患者中.
- 排水类型之间感染率或微生物扩散没有统计学上显著的差异 (P > 0.05).
结论:
- 在未感染的患者中,内外胆道排水不会增加感染风险.
- 最初的排水成功是关键;内部-外部放置是安全的,容易通过的障碍物.
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