在急性并发症和无并发症胆囊炎中进行皮肤通道胆囊切除术;结果有没有差异? 一个单一中心的经验
Tariq Ali1, Ahmad Al-Thaher2, Karen Man Yan Chan1
1Department of Radiology, Norfolk and Norwich University Hospital, Norwich, Norfolk, UK.
Acta radiologica (Stockholm, Sweden : 1987)
|April 22, 2024
概括
穿皮胆囊切除术 (PC) 有效治疗急性胆囊炎,结果不受并发症的影响. 急性损伤 (AKI) 是一个关键的死亡风险因素,强调需要对其进行管理.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 穿皮胆囊静止术 (PC) 是急性胆囊炎的首要干预措施.
- PC显示了急性胆囊炎的高分辨率 (高达90%).
- 很大一部分患者 (40%) 在PC后进行间隔胆囊切除术.
研究的目的:
- 为了比较急性并发症与无并发症胆囊炎患者的生存结果,接受PC.
- 为了解决PC结果的有限文献,以胆囊炎复杂性分层.
- 评估PC作为急性胆囊炎的初步干预措施.
主要方法:
- 对100名接受PC治疗急性胆囊炎的患者的回顾性分析 (2016年8月 - 2020年12月).
- 30天死亡率,90天死亡率,6个月生存率和重新干预率的比较.
- 使用千平方或费舍尔精确测试进行统计分析.
主要成果:
- 在复杂和无复杂胆囊炎组之间,死亡率或再干预没有显著差异.
- 入院时的急性损伤 (AKI) 是死亡率的唯一显著预测因素.
- 与没有脏疾病的患者相比,患有1-3期AKI的患者的死亡风险更高.
结论:
- 穿皮胆囊静止术 (PC) 是一种安全有效的治疗急性胆囊炎的方法.
- 疾病并发症不会显著影响PC后的死亡率.
- 识别和管理AKI对于改善PC后患者存活率至关重要.
相关概念视频
Chronic Bowel Disorders: Introduction
449
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
449
Chronic Pancreatitis II: Collaborative Care
86
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
86
Acute Pancreatitis II: Clinical Manifestations and Management
122
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
122
Endoscopic Procedures V: ERCP
208
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
208
Appendicitis-II: Diagnostic Studies and Management
80
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
80

