性结肠炎的诊断年龄是否会影响恢复性直肠切除术的结果?
Olga A Lavryk1, Sherief Shawki2, Tracy L Hull3
1Department of Colorectal Surgery, Cleveland Clinic, Cleveland, OH, USA. lavryko@ccf.org.
International journal of colorectal disease
|September 28, 2023
概括
性结肠炎诊断时的年龄会影响恢复性直肠切除术的结果. 老年患者面临更高的囊炎,阻塞和狭窄的风险,尽管生活质量仍然相当.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 炎症性肠道疾病是什么
背景情况:
- 性结肠炎 (UC) 诊断年龄不同.
- 恢复性直肠切除术 (RP) 带有阴囊-门解剖 (IPAA) 是UC的一种手术选择.
- 诊断年龄对RP结果的影响尚未完全理解.
研究的目的:
- 评估性结肠炎 (UC) 诊断的年龄是否会影响以囊-门解剖 (IPAA) 进行修复性直肠切除术 (RP) 后的结果.
主要方法:
- 查询了一个前性维护的袋式数据库 (1983-2020年).
- 对UC进行RP的患者分为早期 (19-30岁) 和晚期 (40-70岁) 的成年人群.
- 人口统计,术后并发症,功能结果和生活质量 (QoL) 进行了比较.
主要成果:
- 与年轻患者 (19-30岁) 相比,老年患者 (40-70岁) 的疾病持续时间更长,BMI更高,生物利用率更低.
- 老年患者在术后经历了更高的肠道阻塞,狭窄和囊炎的发生率.
- 在解分离,盆腔败血症,或囊失效率方面没有发现显著差异.
结论:
- 在各个年龄组中,IPAA的保留率相似.
- 在UC诊断和IPAA时的年龄较大与囊炎,肠道阻塞和收缩的增加有关.
- 长期生活质量是可比的患者保留他们的阴囊囊.
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