在腹腔镜腹膜透析导管插入过程中发现的隐形 inguinal 的临床影响
Masashi Tsunematsu1,2, Keigo Nakashima3,4, Junji Takahashi3,4
1Department of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan. tsunematsu@jikei.ac.jp.
Surgical endoscopy
|November 13, 2023
概括
在腹腔透析 (PD) 导管插入期间的常规腹腔镜检查可以检测隐藏的 inguinal hernias. L2隐形与PD患者随后的症状的发展和修复有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
- 椎间板手术 手术 椎间板手术
背景情况:
- 隐藏的 inguinal 带有症状发育的风险在接受腹腔透析 (PD) 的患者.
- 早期检测和管理对于预防与PD相关带相关的并发症至关重要.
研究的目的:
- 评估PD导管插入期间隐藏的 inguinal 的常规腹腔镜查的实用性.
- 根据PD患者的分类来评估隐性 inguinal 的风险概况.
主要方法:
- 79名接受腹腔镜PD导管插入 (2021-2022) 的患者的回顾性研究.
- 隐形被定义为不可触摸的内部囊.
- 采用欧洲 Hernia 协会的分类;研究了与无事件生存的关联.
主要成果:
- 在32%的患者 (24/79) 中检测到隐性 inguinal .
- L2隐性明显与甲时性修复有关.
- 患有L2隐性的患者在一年内表现出高症状发育率 (100%右,50%左).
结论:
- 在PD导管放置期间,常规腹腔镜检查隐藏的 inguinal hernias 是有价值的.
- 在PD患者中,L2隐性 inguinal hernias 代表了症状性的发展和随后的修复的显著风险因素.
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