在袖子胃切除术及其相关手术期间,脏缺血的发生率和影响
Jinrong Huang1, Chenglong Liao, Weiwei Zhou
1Department of Gastrointestinal Surgery, the Ningde Municipal Hospital of Ningde Normal University, Ningde Fujian, P. R. China.
Medicine
|March 1, 2024
概括
脏缺血症 (SI) 发生在8.8%的袖子胃切除术 (SG) 患者中. 在SI和没有SI的患者之间,术后结果相似,这表明需要在SG期间对SI机制进行进一步研究.
科学领域:
- 腹部外科 腹部外科
- 胃肠道手术 胃肠道手术
- 手术并发症 手术并发症
背景情况:
- 脏缺血 (SI) 是袖子胃切除术 (SG) 期间报告不足的并发症.
- 了解SI的发生率和影响对于患者管理至关重要.
研究的目的:
- 为了确定在经过袖子胃切除术 (SG) 的患者中脊髓缺血 (SI) 的发生率.
- 分析SI在SG患者的术后影响.
主要方法:
- 从2021-2022年对204名袖子胃切除术 (SG) 患者的数据进行回顾性分析.
- 对手术视频进行了审查,以确定脏缺血 (SI) 的发生率.
- 收集并分析了患者的人口统计数据,BMI,以及术后第一天 (POD1) 温度和血液检测结果.
主要成果:
- 在经过袖子胃切除术 (SG) 的18名患者 (8.8%) 中观察到脏缺血症 (SI).
- 在有或没有SI的患者之间,在POD1温度或血液检测结果中没有发现统计学上显著的差异.
- 30天再入院率为1.5%,在初级手术期间没有与SI相关的病例.
结论:
- 缺血 (SI) 是在袖子胃切除术 (SG) 过程中常见的发现.
- 通过POD1温度和血液测试评估的术后结果,在SI和没有SI的患者之间没有显著差异.
- 需要进一步的研究,以阐明在SG过程中SI背后的机制.
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