抗生素是新的尾切除术吗?
Janan Alajaimi1, Manar Almansoor1, Amina Almutawa1
1School of Medicine, Royal College of Surgeons in Ireland, Busaiteen, BHR.
Cureus
|October 4, 2023
概括
对于不复杂的尾炎,抗生素治疗提供了一个具有成本效益的替代手术,并没有那么多的并发症,尽管尾切除仍然更有效. 抗生素在一年内显示出超过70%的疗效.
科学领域:
- 医学科学 医学科学 医学科学
- 手术创新 在外科创新.
- 基于证据的医学基于证据的医学.
背景情况:
- 在腹腔镜手术之前,开放的尾切除术是尾炎的标准.
- 最近的研究探讨了抗生素作为无并发尾炎的主要治疗方法.
- 放射学方面的进步有助于对尾炎患者进行分类.
研究的目的:
- 将手术的疗效,并发症和成本与抗生素进行比较 - - 仅用于无并发症的尾炎.
- 评估非手术治疗的长期结果.
- 评估抗生素作为独立治疗方式的可行性.
主要方法:
- 从包括PubMed,ScienceDirect,Google Scholar和JAMA在内的数据库中对30项研究进行系统审查.
- 纳入标准侧重于尾切除术和仅用抗生素治疗的比较研究.
- 提取有关疗效率,并发症概况和财务成本的数据.
主要成果:
- 尾切除术的疗效比仅用抗生素治疗的疗效更高.
- 仅使用抗生素的治疗在一年的随访期实现了超过70%的疗效.
- 手术干预的并发症更频繁,更严重,包括麻醉风险和感染.
- 仅使用抗生素治疗更具成本效益,并发症较少.
结论:
- 虽然尾切除术显示出更高的疗效,但仅用抗生素治疗对于无并发性尾炎是一种可行的,具有成本效益的选择,具有可接受的长期结果.
- 诸如尾炎或瘤的存在等因素会降低抗生素的疗效.
- 保守管理的趋势和最近的流行病经验表明,可能会转向抗生素作为未来的护理标准.
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