术失禁器械:对文献的系统审查和元分析
Justin Dourado1, Zoe Garoufalia1, Sameh Hany Emile1,2
1Ellen Leifer Shulman and Steven Shulman Digestive Disease Center, Cleveland Clinic Florida, Weston, Florida, USA.
概括
术失禁装置为患者提供了更好的生活质量. 虽然目前的设备显示出希望,但需要进一步的研究,以获得可靠的每日解决方案,以对瘤进行管理.
科学领域:
- 医疗器械 医疗器械
- 外科手术的结果
- 患者的生活质量.
背景情况:
- 结肠直肠术并发症范围广泛 (10-70%),显著影响患者的生活质量 (QoL).
- 心理负担和生活方式的改变是奥斯托米患者结果的主要因素.
- 在改善患者的体和生活质量方面,体体器械的有效性需要进行系统评估.
研究的目的:
- 系统地审查骨髓断器械的病史和有效性.
- 评估这些设备对患者体质和整体QOL的影响.
- 为了确定趋势和潜在的未来方向在瘤器件开发.
主要方法:
- 一个符合PRISMA的系统审查和对研究的元分析,直到2023年4月.
- 在PubMed,Scopus,谷歌学者和clinicaltrials.gov.gov进行的搜索.
- 使用ROBIS-2和ROBINS-1评估偏差风险;使用GRADE对证据确定性进行分级.
主要成果:
- 22项研究评估了1978年至2022年的设备,将球和插头系统确定为主要类型.
- 康塞尔设备显示了67.4%的综合性失禁率和74.9%的QoL改善.
- 泄漏报告为10.1%,并发症为13.7%,其中69.1%的患者偏好传统设备.
结论:
- Ostomy 禁欲仍然是一个挑战,没有一贯可靠的解决方案.
- 选择性,短期使用禁欲装置可能会增强 ostomy 患者的禁欲和 QoL.
- 进一步的研究对于开发可靠的每日口腔器件至关重要,考虑到口腔器的需求.
相关概念视频
01:24Ostomy Care
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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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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:
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