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184个闭门的流行病学和手术管理:全国性的基于登记册的队列研究
M A Holm1,2, J J Baker3, K Andresen3
1Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospitals, University of Copenhagen, Borgmester Ib Juuls Vej 1, 2730, Herlev, DK, Denmark. mikkel.andreas.holm@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|September 25, 2023
概括
闭门是罕见的,主要影响的是老年妇女. 与选择性手术相比,紧急修复的死亡率和再接收率更高,这凸显了对量身定制的外科手术方法的需求.
科学领域:
- 外科手术的结果
- 疹流行病学 疹流行病学
- 胃肠道手术 胃肠道手术
背景情况:
- 闭门是罕见的手术疾病,死亡率高.
- 缺乏关于门的手术方法和术后结果的全面数据.
- 现有的文献缺乏关于最佳手术管理策略的共识.
研究的目的:
- 描述患者的人口统计学,手术技术和闭门的术后结果.
- 在国家数据库中确定闭门的流行率和发病率.
- 分析影响闭门修复结果的因素.
主要方法:
- 一个全国性的回顾性队列研究,利用丹麦 Hernia 数据库 (1998-2023).
- 纳入标准:所有接受闭塞手术的成年患者.
- 主要结局:人口统计数据,手术细节,术后并发症,流行率和发病率.
主要成果:
- 在167名患者中分析了184例闭塞 (88%为女性,中位数年龄为77岁).
- 42%的修复是紧急的,72%是腹腔镜的;在77%的案例中使用了网格.
- 紧急修复显示了14%的30天死亡率和21%的再入院率,而选择性修复则为0%的死亡率和10%的再入院率.
结论:
- 闭门是罕见的,主要影响老年女性.
- 手术修复策略应根据急性与选择性呈现量身定制.
- 紧急闭门修复与明显更高的发病率和死亡率有关.
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