切口:手术并发症还是医学疾病?
Islam Omar1, Tilemachos Zaimis2, Abby Townsend2
1General Surgery, The Hillingdon Hospitals NHS Foundation Trust, Uxbridge, GBR.
Cureus
|January 15, 2024
概括
切口 (IH) 在手术后很常见. 了解它们的分子基础和风险因素可以指导预防策略并改善患者的生活质量 (QOL).
科学领域:
- 腹部外科手术 腹部外科手术
- 手术并发症 手术并发症
- 椎间板研究 椎间板研究
背景情况:
- 切口 (IH) 是腹部手术后的常见并发症,可能涉及比简单的解剖失败之外的复杂机制.
- IH发病率各不相同,受手术因素,患者的并发症以及固有的/可修改的风险因素的影响.
- 分子机制可能涉及细胞外矩阵失调,纤维细胞功能障碍和改变的原比率.
研究的目的:
- 提供切口 (IH) 的全面概述.
- 审查IH的定义,分子基础,风险因素,发病率,临床表现和管理策略.
- 要突出风险预测和预防IH的预防措施的进展.
主要方法:
- 我们对PubMed进行了文献搜索,以确定关于切口 (IH) 的高质量研究.
- 该综述综合了有关IH各方面的信息,包括其发展,风险因素和治疗.
- 专注于确定固有和可修改的风险因素和分子机制.
主要成果:
- IH发病率受到手术病理,切口特征,并发病症和风险因素的影响.
- 在IH中涉及的分子因素包括细胞外矩阵失调和改变的原.
- 选择性内脏病修复可以改善生活质量 (QOL),并预防并发症.
- 对于高风险患者,风险预测工具和预防措施如网状应用正在出现.
结论:
- 选择性切口 (IH) 修复显著改善患者的生活质量 (QOL),并防止严重的后果.
- 风险分层工具对于在高风险人群中实施预防措施至关重要.
- 在患者咨询期间,对风险和益处进行彻底的讨论,包括审查警等待,是必不可少的.
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