周围皮质皮肤病 (gangrenosum) 的术后管理和临床结果
Sarah L Becker1, Jorge A Rios-Duarte2, Georgia Mae Morrison3
1Department of Dermatology, Oregon Health and Science University, 3303 S Bond Ave Building 1, 16th Floor, Portland, OR, 97239, USA. beckersa@ohsu.edu.
Archives of dermatological research
|March 6, 2024
概括
外科手术后周围肌皮性性的复发很常见,影响35.1%的患者. 没有特定的患者或治疗因素与复发有关,这突显了需要多学科护理的需要.
科学领域:
- 皮肤病学 皮肤病学
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
背景情况:
- 周围肠炎性皮肤炎 (PPG) 是一种罕见的皮肤炎性皮肤炎亚型,影响口腔部位,通常发生在炎症性肠病 (IBD) 患者中.
- 对于PPG而言,手术干预是常见的,但它们对复发率的影响尚不清楚.
研究的目的:
- 为了确定与手术干预后PPG复发相关的患者和临床因素.
- 评估外科手术和PPG复发之间的关系.
主要方法:
- 一个多机构的追溯案例系列和文献综述.
- 包括所有年龄段的PPG患者,因为这种情况或并发症而接受手术.
- 描述性统计学和推理测试 (威尔科克森的等级和,费舍尔的精确) 来分析数据.
主要成果:
- 分析了37例病例,78.3%的人有IBD病史.
- 在手术后30天的整体复发率为35.1%.
- 人口统计学,静脉口腔位置,手术类型或术后治疗和PPG复发之间没有发现显著的关联.
结论:
- 没有特定的临床风险因素或治疗被确定为PPG复发的预测因素.
- 多学科的方法对于管理PPG至关重要,解决其胃肠道,皮肤和外科方面的问题.
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