怀孕期间胆囊结石:我们在墨西哥做的是正确的事情吗?
Gerardo Chávez-Saavedra1, Elia Lara-Lona1, Daniel Díaz-Martínez1
1Departamento de Medicina y Nutrición, Universidad de Guanajuato, León, Guanajuato.
Cirugia y cirujanos
|December 14, 2023
概括
在墨西哥,患有胆结石的孕妇经常接受医疗治疗和延迟的开放手术,与有利于早期腹腔镜胆囊切除术的国际指导方针形成鲜明对比. 然而,这种方法并没有导致死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 产科和妇科 产科和妇科
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 胆结石 (胆结石) 和胆囊炎症 (胆囊炎) 可以在怀孕期间和产后发生.
- 孕妇胆结石的治疗策略在全球范围内各不相同.
- 国际指导方针提倡及时进行手术干预.
研究的目的:
- 概述墨西哥孕妇和产后妇女胆结石的首选治疗方法和手术方法.
- 将墨西哥的做法与国际建议进行比较,以对该人口的胆结石管理进行比较.
主要方法:
- 一个观察性,描述性和回顾性研究.
- 数据来源于2019年动态立方体数据库.
- 对被诊断患有胆囊炎和/或胆病的孕妇和产后妇女进行分析,后者接受了胆囊切除术.
主要成果:
- 在2019年,确定了937名患者 (55%怀孕,45%产后).
- 在91.47%的病例中使用了医疗治疗;8.53%接受了胆囊切除术.
- 开放胆囊切除术占主导地位 (63.75%),在两组治疗中死亡率为零.
结论:
- 墨西哥的临床实践倾向于医疗管理和延迟的开放胆囊切除术,用于孕妇/产后妇女的胆结石.
- 这与国际指导方针相反,建议早期腹腔镜胆囊切除术.
- 尽管采用了普遍的方法,但在研究队列中没有观察到死亡率.
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