对 Hernia Mesh 系统反应的患者:对 Mesh 植入物疾病的介绍
Negin Fadaee1, Desmond Huynh2, Zayan Khanmohammed3
1California Health Sciences University College of Osteopathic Medicine, Clovis, CA, United States.
Journal of abdominal wall surgery : JAWS
|February 5, 2024
概括
网状植入体疾病 (MII) 越来越令人担忧,17%的网状植入体移除是由于全身反应. 完全切除网状膜往往可以消除衰弱的MII症状,改善患者的生活质量.
科学领域:
- 医学科学 医学科学 医学科学
- 手术创新 在外科创新.
- 患者的健康结果.
背景情况:
- 越来越多的人报告了手术网状植入物对全身反应的情况.
- 网状植入体疾病 (MII) 是一种复杂的全身反应.
- 诊断和治疗MII仍然具有挑战性.
研究的目的:
- 调查网状植入体疾病 (MII) 的发生率和特征.
- 评估在怀疑MII的患者中切除网状组织的结果.
- 确定易患MII的因素和症状.
主要方法:
- 从数据库中对165名接受网格切除的患者进行了回顾性分析.
- 数据提取的重点是预易性状况,MII症状,植入物类型和移除后的结果.
- 评估症状的消失和需要进一步的手术干预后移除后的评估.
主要成果:
- 17% (28/165) 的网格移除表明可能有MII.
- 诱导因素包括女性性别,自身免疫性疾病和过敏.
- 68%的患者在删除网状网后一个月内出现症状改善,长期解决得到证实.
结论:
- 网状植入体疾病 (MII) 是一种未被认可的疾病,需要更多的临床关注.
- 完全切除网格是MII的有效治疗方法,导致症状消失.
- 在植入后有模糊的全身症状的患者中识别MII对于及时干预至关重要.
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