复杂尾炎患者的临床结果
Isheeta Madeka1, Keyur Patel2, Peter Altshuler2
1Department of Surgery, Thomas Jefferson University, Philadelphia, PA, USA. isheeta.madeka@jefferson.edu.
Surgical endoscopy
|October 6, 2023
概括
复杂的尾炎的管理可以根据临床因素来指导. 更大的腹大小预测非手术治疗失败,表明需要量身定制的治疗算法.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 临床结果研究研究
背景情况:
- 复杂的尾炎,包括,穿孔或腹膜炎,发病率很高 (28-29%),对治疗缺乏共识.
- 目前的治疗方法涉及抗生素与或没有手术或排水,突出需要定义的治疗算法.
研究的目的:
- 为了评估急性并发性尾炎患者的临床结果,治疗或没有手术.
- 通过评估影响非操作与操作管理的因素来定义治疗算法.
主要方法:
- 220名患有急性复杂尾炎的成年患者的回顾性审查 (2017年1月 - 2022年6月).
- 非操作管理 (NOM) 和操作管理组之间的结果比较.
- 回归建模以确定NOM及其失败的预测因素.
主要成果:
- 26.3%的患者接受了NOM (单独或带排水的抗生素),而73.6%的患者接受了手术.
- 穿孔和预测了初始NOM;较大的腹/尺寸预测了需要手术的NOM失败.
结论:
- 临床因素可以帮助指导复杂尾炎的非手术和手术治疗之间的选择.
- 较大的腹和/或骨大小是非手术治疗失败的关键预测因素.
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