相关实验视频
Updated: Jul 3, 2025
05:07
Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
594
在粘附性小肠阻塞中肠道缺血的预测因素
Xiangmin Li1,2, Min Tian, Yulin Liu1,2
1Department of General Surgery, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.
Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|February 11, 2024
概括
粘性小肠阻塞 (ASBO) 中肠道缺血的预测因素包括反弹敏感性,升高的前素 (PCT) 和降低的CT增强. 这些发现有助于ASBO患者的手术决策.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 粘性小肠阻塞 (ASBO) 是一个常见的手术紧急情况.
- 肠道缺血是ASBO的严重并发症,需要及时干预.
- 准确预测肠道缺血症对于患者管理至关重要.
研究的目的:
- 确定ASBO患者肠道缺血的关键预测因素.
- 开发一个风险评分来评估ASBO中的肠道缺血症.
- 改善ASBO的外科决策和患者的治疗结果.
主要方法:
- 在2017年1月至2022年2月期间进行的观察性研究.
- 通过腹腔切除确认ASBO诊断;小肠活力通过手术和组织学评估.
- 用于确定肠道缺血的危险因素的单变量和多变量分析.
主要成果:
- 这项研究包括79名患者.
- 肠道缺血的预测因素包括反弹敏感性 (OR:7.8),前素 (PCT) >0.5 ng/mL (OR:11.7),CT肠壁增强减少 (OR:12.2).
- 基于这些因素的风险评分表明,预测肠道缺血症的ROC曲线下的面积为0.848.
结论:
- 反弹敏感性,PCT水平>0.5 ng/mL和CT增强降低是ASBO中缺血性损伤的重要风险因素.
- 这些因素可以帮助临床医生避免不必要的腹腔切除术,并为手术选择合适的患者.
- 建议对这些指标进行密切监测,以有效管理ASBO.
相关概念视频
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:30Inflammatory Bowel Disease II: Crohn's Disease
244
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
244
01:30Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
334
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
334
01:23Renewal of Intestinal Stem Cells
2.6K
The intestinal epithelial lining rapidly renews every 4 to 5 days. The renewal is facilitated by intestinal stem cells (ISCs) located at the base of the crypt– a gland located at the bottom of each villus. ISCs divide asymmetrically to form new stem cells and progenitor daughter cells. The daughter cells are called transit-amplifying (TA) cells which move upwards along the crypt and either differentiate into absorptive cells– the enterocytes or secretory cells– including the...
2.6K
01:17Irritable Bowel Syndrome I: Introduction
275
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
275
01:17Chronic Bowel Disorders: Introduction
450
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
450