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小肠后续检查:小肠阻塞的治疗方法还是延迟不可避免的?
Mohammad Ali1, Daniel R Slack1, Emery Edmondson1
1General Surgery, Waterbury Hospital, Waterbury, USA.
Cureus
|January 10, 2024
概括
小肠后续治疗 (SBFT) 并没有显著影响小肠阻塞 (SBO) 复发率. 然而,操作干预与在一年内SBO复发率的统计显著下降有关.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医疗成像医学成像
背景情况:
- 小肠阻塞 (SBO) 每年影响超过40万名患者,其中20-40%需要手术并承担大量医疗保健费用.
- 经常性SBO是常见的,五年内病例率高达15-20%.
- 小肠随访 (SBFT) 可能会减少粘合剂SBO的停留时间.
研究的目的:
- 调查SBFT管理是否会影响经常性SBO的30天至5年再录取率.
- 评估SBFT时间和SBO复发之间的关联.
- 为了确定SBO复发的风险因素.
主要方法:
- 2010-2020年742名患者的回顾性研究比较了接受SBFT在24小时内,24小时后或根本没有接受SBFT的患者的再入院率.
- 差异分析用于评估不同间隔 (<30天,<1年,1-3年,3-5年) 的再入院率.
- 风险因素包括年龄,BMI,腹内手术数量,性别和手术干预被评估是否与复发有关.
主要成果:
- 在接受SBFT早期,晚期或根本不接受SBO的组之间,SBO复发率没有显著差异.
- 没有接受手术干预的患者有48%的SBO再入院机会,而接受手术的患者有29%的SBO再入院机会.
- 操作干预与一年内SBO复发的统计显著下降有关 (p=0.027).
结论:
- SBFT管理并没有显著改变SBO复发率.
- 根据性别或大多数BMI群体,没有观察到复发的显著差异.
- 操作干预与在一年内SBO复发的统计显著减少有关.
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