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术前因素和等待时间对尾切除术后并发症的影响:一项回顾性研究

Shuo-Lun Lai¹, Chin-Hao Chang², Po-Chu Lee³

¹Division of Colorectal Surgery, Department of Surgery, National Taiwan University Hospital, and National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei, 100, Taiwan.

Perioperative medicine (London, England)

|February 21, 2024

概括

如果手术延迟超过12小时,高风险尾炎患者将面临更多的并发症. 对于这些人来说,迅速的尾切除术对于更好的手术结果和减少术后问题至关重要.

科学领域:

手术手术手术术术
胃肠病学胃肠病学
临床研究临床研究

背景情况:

尾切除术是常见的,但术后并发症可能发生.
预测手术结果的预测模型是有限的.
对高风险尾炎患者及时进行手术的益处尚未得到充分证实.

研究的目的:

研究手术等待时间对术后并发症的影响.
确定尾切除术后不良结果的关键手术前风险因素.
为了确定高风险患者是否受益于加速手术.

主要方法:

对1343个新出现的尾切除病例 (2013-2018) 的分析.
多变量逻辑回归以确定风险因素 (年龄,中性粒细胞-淋巴细胞比,SIRS,疼痛持续时间).
风险组 (高/低) 和手术时间 (≤12 vs >12小时) 的并发症率的比较.

主要成果:

高风险患者的等待时间>12小时的整体并发症率显著更高 (16.85%对比8.16%).
在手术延迟的高风险患者中观察到增加手术部位感染的趋势 (10.99%对6.46%).
在12小时内进行手术时,高风险患者和低风险患者之间没有显著的结果差异;延迟手术对低风险患者没有影响.

结论:

手术前的因素和手术时间显著影响尾切除术的结果.
高风险患者应在12小时内进行尾切除,以尽量减少术后并发症.
及时干预是改善易受尾炎患者手术结果的关键.

关键词:

尾切除术是指尾切除术.附录是指一个附录.复杂性复杂性复杂性延迟延迟延迟的时间调节时间的时间.

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