尾分炎的临床特征和危险因素:与急性尾炎的比较研究
Kota Sugiura1, Hideo Miyake1, Hidemasa Nagai1
1Department of Gastrointestinal Surgery, Japanese Red Cross Aichi Medical Center Nagoya Daiichi Hospita, l3-35, Michishita-Cho, Nakamura-Ku, Nagoya, 453-8511, Japan.
Surgery today
|November 21, 2023
概括
尾角炎 (AD) 与急性尾炎 (AA) 是不同的. 阿尔茨海默病发生在具有强壮体质的老年男性中,并带有更高的并发症风险,即使白细胞数量低.
科学领域:
- 胃肠病学 胃肠病学
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 尾分炎 (AD) 和急性尾炎 (AA) 呈现类似的临床症状,但具有不同的病理特征.
- 区分AD和AA对于适当的临床管理和了解疾病特异性结果至关重要.
研究的目的:
- 为了比较AD和AA的临床特征.
- 确定区分AD和AA的风险因素.
主要方法:
- 对854名经过尾切除术的患者进行了回顾性分析,在手术前诊断为AD或AA.
- 基于基因病理学发现的分类.
- 临床因素的比较,包括人口统计,白细胞计数,乙酸蛋白计数和平均体积.
主要成果:
- 与AA相比,阿尔茨海默病在年长,身高较高,体重较重的男性中更为普遍.
- 多变量分析确定了男性性别,白细胞计数<13.5×10^3/μL,乙素计数≥0.4%,平均体积≥91.6 fL作为显著的差异化因素.
- 病理性AD是腹和/或穿孔的独立风险因素.
结论:
- 尾角炎与年龄较大,身体强壮,以及出现或穿孔等并发症的风险较高有关.
- 手术前的因素包括男性性别,特定的白细胞,乙酸蛋白和平均体质体积水平,可以帮助区分AD和AA,补充成像模式.
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