在盆腔手术后,小肠下方的内小肠血管轴下方:系统性审查
Aizaz Khalid1, Anza Ashraf2, Mohamed A Salman1,3
1General Surgery, University Hospitals Sussex National Health Service (NHS) Foundation Trust, Chichester, GBR.
Cureus
|September 5, 2023
概括
这次审查发现,腹腔血管以下的腹腔内是罕见的,但与先前的骨盆淋巴结解剖有关. 早期怀疑和手术修复对于患者的结果至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 内腹是小肠阻塞的不常见原因,先天性类型在历史上比获得性更为普遍.
- 一种罕见的变体,下阴道血管下面的内部,已经在骨盆淋巴结解剖后的患者中出现.
- 这种情况需要彻底了解,因为它与之前的手术干预有关.
研究的目的:
- 为了确定发生在阴道血管下方的内部的患病率.
- 分析这种特定类型内患者的特征和结果.
主要方法:
- 在三个数据库中使用Cochrane方法进行了系统的文献审查.
- 最初确定了70篇文章,其中17篇文章根据特定的纳入标准 (下阴道血管下,盆腔淋巴结解剖后的阴道血管) 被选择进行审查.
主要成果:
- 所有17个审查的病例都涉及有骨盆淋巴结剖析病史的患者,中位延迟20个月到的呈现.
- 在所有病例中都需要进行手术管理,包括13例小肠切除.
- 缺陷的关闭方式各不相同,有11位作者选择关闭,而5位则选择开放. 所有患者都在住院后幸存下来.
结论:
- 在患有小肠阻塞和骨盆淋巴结剖析病史的患者中,对内的高度怀疑指数是合理的.
- 在盆腔淋巴结解剖期间应考虑腹关闭,以潜在地预防这种罕见的并发症.
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