肠道穿孔和腔关突变迁移:一个系统的审查
Khelifa Adel1, Aichaoui Fayçal1, Bennafaa Toufik1
1Department of Neurosurgery, Mohamed Lamine Debaghine University Hospital (BEO), Algiers, Algeria.
Journal of Taibah University Medical Sciences
|January 18, 2024
概括
偏航迁移,特别是肠道和门迁移,是水头治疗的罕见但严重的并发症. 早期检测和干预,通常涉及通过门去除,导致有利的结果.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 偏航迁移是水头管理的一个可怕的并发症.
- 肠道和门分流迁移,虽然很少见,是最常见的类型.
- 之前的研究允许对这种特定并发症进行大量数据收集.
研究的目的:
- 为了增强对分流迁移并发症的理解.
- 确定减少分流迁移发生率的策略.
主要方法:
- 对PubMed和Scopus数据库的系统审查,以分析向迁移病例.
- 包括记录中的56例病例和一个额外的临床病例,共57例.
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
主要成果:
- 门挤出发生在82%的病例中,主要发生在男性中 (68%).
- 在66%的病例中,病因是先天性水头,迁移发生在插入后12天至19年.
- 感染性并发症影响了35%的患者;死亡发生在两个病例中.
结论:
- 肠道和门分流迁移是一种罕见的并发症,通常发生在手术后的早期.
- 这种并发症可能导致危及生命的传染性问题,需要紧急管理.
- 通过门去除子通常是足够的,早期干预可以产生有利的结果.
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