保守对手术治疗急性尾炎:一个系统的审查
Xinlin Chin1,2,3, Sachini Mallika Arachchige4, Jane L Orbell-Smith5
1General Surgery, Mackay Base Hospital, Mackay, AUS.
Cureus
|February 22, 2024
概括
与尾切除相比,急性尾炎的抗生素治疗显示出更高的复发率 (13-38%). 虽然并非常规推,但对于接受手术风险的选定患者来说,抗生素可能是一种选择.
科学领域:
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
- 传染性疾病 传染性疾病
背景情况:
- 尾切除术是急性尾炎的传统黄金标准.
- 抗生素治疗正在成为一种保守的管理选择.
- 需要证据来比较这两种方法的疗效和安全性.
研究的目的:
- 系统地审查和比较抗生素治疗与急性尾炎的尾切除术.
- 评估使用抗生素治疗的患者的复发率和治疗成功率.
主要方法:
- 在CINAHL,Cochrane,Embase,Medline和PubMed中进行系统搜索.
- 包括21项研究 (系统性审查,元分析) 与44,699名参与者.
- 对抗生素治疗方案,持续时间和患者结果的分析.
主要成果:
- 在至少17,865名参与者中使用了抗生素治疗.
- 在抗生素治疗后的一年复发率在13%至38%之间.
- 尾切除术由于更高的疗效和更低的并发症率而保持优势.
结论:
- 尾切除术是不复杂的急性尾炎的黄金标准.
- 抗生素治疗是选择不愿接受手术的患者可行的替代方案.
- 考虑服用抗生素的患者必须承认复发风险和潜在的手术需要.
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