选择性西格莫切切术治疗椎病后,患者报告的肠功能长期变化结果是什么? : 观察性研究患者接受选用sigmoidectomy因为椎病的疾病
Phillip J Gray1, Jenaya L Goldwag1, Mark A Eid1
1From the Dartmouth-Hitchcock Medical Center, Lebanon, NH.
概括
选择性sigmoidectomy用于分支管疾病改善症状患者的长期肠功能. 然而,无症状患者在手术后可能会出现肠功能受损,这凸显了手术前症状评估的重要性.
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
- 外科手术的结果
背景情况:
- 脊椎病的管理往往假定手术改善症状.
- 之前的研究表明,在sigmoidectomy后的肠功能没有早期变化.
- 有限的数据存在于分管疾病的sigmoidectomy后的长期肠功能结果.
研究的目的:
- 为了评估选择性sigmoidectomy因分泌管疾病后的肠功能的长期变化.
- 评估手术前症状状况对长期手术结果的影响.
- 为了确定选择性sigmoidectomy是否有利于有症状或无症状分管疾病的患者.
主要方法:
- 对51名患者进行观察性研究,这些患者因分泌管疾病而接受了选择性西格莫切除术.
- 结肠直肠功能结果 (COREFO) 问卷在手术前和手术后使用>1年.
- 患者分为症状 (COREFO ≥15) 和无症状组进行分析.
主要成果:
- 患有症状的患者表现出显著的长期改善肠道功能.
- 无症状患者经历了长期肠道功能受损,特别是在社会影响方面.
- 症状组的改善是由减少 incontinence,更好的便一致性和更少的药物需要驱动的.
结论:
- 选择性sigmoidectomy对于症状性管疾病导致长期的肠功能显著改善.
- 无症状患者接受西格莫切除术可能会经历统计学上显著的长期肠功能障碍.
- 患者报告的结果对于识别有症状的个体从西格切除中受益至关重要.
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