影响循环静脉切除术关闭时间的因素:一个区域中心对106名患者的经验
Tedman Cheuk-Yiu Chau1, Hung Nguyen1, Iain K Robertson2
1Department of General Surgery, Launceston General Hospital, Launceston, Tasmania, Australia.
ANZ journal of surgery
|October 25, 2023
概括
澳大利亚地区的乳房切除术逆转需要比推更长的时间,直肠癌患者的中位关闭时间为8.5个月. 静脉切除术逆转的延迟与化疗和医院再入院等因素有关.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 患者发病率 患者发病率
背景情况:
- 功能失调的结节切除术与显著的患者发病率有关,影响多达三分之二的人.
- 及时逆转乳房切开术被认为是安全和经济有效的.
- 澳大利亚地区医院内叶静脉切除术逆转的及时性数据在专业文献中有限.
研究的目的:
- 为了评估目前在澳大利亚一家地区医院内静脉切除术关闭的及时性.
- 为了确定可能导致延迟结节管逆转的潜在因素.
主要方法:
- 在2010年至2020年期间,在兰西斯顿总医院创建和逆转的循环结节切除术的回溯分析.
- 包括接受直肠癌手术和其他良性指示的循环结节术的患者.
- 多变量回归分析,以确定延迟结节切开关闭的风险因素,包括事件,并发症和再入院的时间.
主要成果:
- 在123名患者中,共有106名 (86.2%) 患者的循环结节切除术被逆转.
- 关闭的中位时间是直肠癌患者的8.5个月,而非直肠癌患者的5.2个月,显著差异为3.4个月.
- 辅助化疗和意想不到的医院再入院与延迟的结节切除术逆转有显著的关联.
结论:
- 骨架逆转通常在创建后3-6个月内进行,但延迟很常见.
- 超过三分之二的患者经历了由于临床和非临床因素导致的延迟.
- 通过提前排列等待名单和协调后续检查来加快结节管切除术逆转,可以减少相关的发病率.
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