处女腹部小肠阻塞:在资源有限的环境中预测手术干预需要的预测因素
Saif Ghabisha1, Faisal Ahmed2, Abdulfattah Altam3
1Department of General Surgery, School of Medicine, Ibb University, Ibb, Yemen.
Journal of multidisciplinary healthcare
|December 18, 2023
概括
处女腹部小肠阻塞 (SBO-VA) 的管理具有挑战性. 手术干预的预测因素包括年龄较大,疼痛持续时间较长和CT扫描结果,即使没有先前的手术,也需要保持警.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 腹部外科手术 腹部外科手术
背景情况:
- 对于管理处女腹部小肠阻塞 (SBO-VA) 的证据有限.
- 大多数研究都排除了SBO-VA,阻碍了对其治疗结果和外科预测因素的理解.
- 本研究解决了有关SBO-VA管理的数据缺口.
研究的目的:
- 为了评估SBO-VA的治疗结果.
- 为了确定SBO-VA.手术干预的预测因素.
- 为改善SBO-VA患者的临床决策.
主要方法:
- 在Al-Nasar医院进行了回顾性横截面研究 (2015-2021年).
- 包括所有被诊断和管理的SBO-VA病例.
- 基于手术前数据的手术与保守治疗组的比较.
主要成果:
- 分析了67例SBO-VA病例,53.8%需要紧急手术.
- 粘附是主要的病因 (23.9%).
- 手术的预测因素包括年龄较大,先前入院,腹部疼痛,持续的疼痛,炎症标志物升高 (CRP,WBC),延迟呈现,CT发现 (肠道加厚,增强减少).
结论:
- 粘附是SBO-VA的主要原因.
- 年龄较大,先前入院,疼痛持续时间,疼痛,炎症标志物和CT警报信号预测需要紧急手术.
- 高度警对于及时识别和干预SBO-VA至关重要,即使在没有手术史的患者中也是如此.
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