怀孕后期急性胆囊炎的管理策略:一个多中心回顾性研究
Wei Zhang1, Huiming Yi1, Ming Cai2
1Department of Medical Ultrasound, Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology, Wuhan, Hubei Province, 430030, China.
BMC surgery
|November 11, 2023
概括
在怀孕晚期,手术为急性胆囊炎提供了最低的再入院率,而皮肤透肝胆囊排水 (PTGD) 与较少的早产有关. 治疗选择取决于严重程度和患者的偏好.
科学领域:
- 胃肠病学 胃肠病学
- 产科 产科 产科 产科 产科
- 手术管理的手术管理.
背景情况:
- 急性胆囊炎在怀孕的第三个三个月是一个重大的挑战.
- 有效的管理策略对于最大限度地降低孕产妇和胎儿的风险至关重要.
研究的目的:
- 为了比较手术干预的疗效,皮肤透肝胆囊排水 (PTGD),以及在怀孕后期急性胆囊炎的保守治疗.
- 评估结果,包括停留时间,再接收率和早产率.
主要方法:
- 对102名患有急性胆囊炎的孕妇 (第三季度) 的回顾性分析.
- 患者被分为三个组:手术 (A组),PTGD (B组) 和保守治疗 (C组).
- 分析的结果包括住院时间,再入院率和早产率.
主要成果:
- 与PTGD (B) 和保守的 (C) 组相比,手术组 (A) 的再入院率 (9.09%) 和住院时间更短 (4.02天) 显着较低.
- 与手术 (A) 和保守 (C) 组相比,PTGD组 (B) 的早产率显著降低 (3.45%).
- 保守治疗 (C) 的再入院率最高 (58.06%).
结论:
- 怀孕后期急性胆囊炎的治疗应根据疾病的严重程度和患者的偏好进行.
- 轻微的病例可以保守地管理.
- 中度至重度病例可能受益于初始PTGD以控制症状,并考虑在分娩后进行手术.
- 对于症状控制不良的危急病例,应采取紧急外科手术.
相关概念视频
01:29Chronic Pancreatitis II: Collaborative Care
95
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
95
01:30Acute Pancreatitis II: Clinical Manifestations and Management
131
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
131
01:29Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80