膀创伤:指导方针中的指导方针
Deshin Reddy1, Abdullah E Laher1, Maeyane Moeng2
1Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
BJU international
|November 27, 2023
概括
本综述综合了当前的膀创伤指南,强调了诊断和管理的共识,但注意到了后续护理和儿科创伤的差距. 至少侵入性技术对精选的患者显示出有前途.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 创伤外科 手术 创伤外科
- 基于证据的医学基于证据的医学.
背景情况:
- 膀创伤管理需要最新的,统一的指导.
- 现有的指导方针提供了不同的建议,需要进行全面审查.
研究的目的:
- 确定和批判性地评估最新的关于膀损伤的国际指南.
- 为全面的膀创伤管理创建一个更新的基础.
主要方法:
- 在PubMed和Scopus数据库的系统文献搜索 (2023年9月).
- 在准则的选择和评估中遵守PRISMA声明.
- 包括来自主要泌尿外科和创伤外科组织的六条关键指南.
主要成果:
- 分析了2012年至2023年间发表的六项指导方针.
- 在膀损伤诊断和初始管理方面存在共识.
- 在随访中发现的差异,阳性创伤,儿科创伤和自发破裂.
结论:
- 主要组织提供关于膀创伤的指导.
- 针对特定类型的伤害和后续行动的建议缺口需要进一步研究.
- 对于稳定患者而言,正在出现最少的侵入性方法,这需要进一步调查.
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