在腹腔镜循环结肠静脉修复术后,口腔倒的危险因素
Yusuke Takashima1, Hitoshi Hino2,3, Akio Shiomi1
1Division of Colon and Rectal Surgery, Shizuoka Cancer Center Hospital, 1007 Shimonagakubo, Nagaizumi-cho, Sunto-gun, Shizuoka, 411-8777, Japan.
超重个体和直肠腹部透度较薄的人在腹腔镜环结肠术后面临更高风险的口腔塌. 仔细选择地点可以防止这种并发症.
科学领域:
- 腹部外科手术 腹部外科手术
- 手术并发症 手术并发症
- 胃口护理 胃口护理
背景情况:
- 胃口 (SP) 是大肠切口手术后的常见并发症.
- 腹腔镜环结肠静止术与与口腔管相关问题的显著发病率有关.
- 识别SP的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了调查潜在的风险因素,与胃镜循环结肠静止术后的口腔的发展相关.
- 确定预测SP发生的患者和外科特征.
- 提供以证据为基础的建议,以预防口腔的发生.
主要方法:
- 从2016年9月至2022年3月期间接受了腹腔镜环结肠静脉切除术的140名患者的数据的回顾性分析.
- 采用多变量分析来确定静脉突起的独立风险因素.
- 评估了患者的人口统计,体重指数和手术部位特征.
主要成果:
- 在平均12.5个月的随访期间,33名 (23.6%) 患者出现了口腔.
- 超重 (BMI ≥25) 是SP的一个显著的独立风险因素 (OR,8.69;p=0.012).
- 穿透较薄的直腹肌 (<8.9毫米) 也是一个独立的危险因素 (OR,8.22;p <0.001).
结论:
- 超重的状态和通过更薄的直肠腹部构建的口腔显著与SP发病率的增加有关.
- 这些因素是腹腔镜环结肠镜术后口腔倒的独立预测因素.
- 选择一个具有更厚直肠腹腔透的静脉位可能是防止静脉透的关键.
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