在炎症性肠病患者中,经过分泌切除术后持续的周围鼻
Sam D Papasotiriou1, Gregory A Dumanian1, Scott A Strong1
1Northwestern University Chicago Illinois USA.
JGH open : an open access journal of gastroenterology and hepatology
|November 30, 2023
概括
在因炎性肠病 (IBD) 进行前科切除术后,持续的周围鼻腔 (PPS) 阻碍了生活质量. 本综述涵盖了PPS发病率,原因和手术治疗,强调了对标准护理的需要.
科学领域:
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
- 伤口愈合 治愈 伤口愈合
背景情况:
- 持续的周围鼻 (PPS) 是因炎症性肠病 (IBD) 进行前科切除术后的一个具有挑战性的并发症.
- PPS会延长超过六个月的恢复时间,往往需要进一步的手术干预.
- 手术所造成的"死空间"使周区域的愈合复杂化.
研究的目的:
- 为了提供一个全面的叙事审查的持续周围鼻 (PPS) 在IBD患者后的proctocolectomy.
- 为了解决PPS的发病率,发病因子以及临床和操作管理.
- 确定未来研究的领域,并建立护理的黄金标准.
主要方法:
- 在IBD中进行直肠切除术后,对PPS现有文献进行叙述性综述.
- 报告的发病率和病因因素的全面分析.
- 详细检查各种手术管理技术.
主要成果:
- 讨论的手术方法包括手术脱bridement,周围关闭,omental关闭,和gracilis肌肉转移.
- 突出了由于解剖学约束和"死空间"的创造,治疗PPS的困难.
- 他强调,没有一个普遍确立的PPS管理的黄金标准.
结论:
- 持续的周围鼻 (PPS) 在经过前切除术后的IBD患者中带来了重大挑战.
- 目前的手术选择为管理PPS提供了多种方法.
- 进一步的研究对于确定最佳治疗策略和建立PPS护理的黄金标准至关重要.
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