形尾炎:对一种独特的病理学的系统审查
Carlos D Acevedo-Castillo1, Hannia M Macias-Cruz1, Arantxa Ramirez-Cisneros1
1Escuela de Medicina y Ciencias de la Salud, Tecnologico de Monterrey, Monterrey, México.
The American surgeon
|May 17, 2024
概括
性尾炎 (EA) 是一种罕见的腹痛原因,常常被误认为是尾炎或尾炎. 保守的管理是最佳的,强调需要增加医生认可,以防止不必要的手术.
科学领域:
- 胃肠病学 胃肠病学
- 腹部外科手术 腹部外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 性尾炎 (EA) 是急性腹痛的一个未被认可的原因.
- 它可以模仿更常见的疾病,如尾炎和尾炎.
- 有限的信息阻碍了其被认为是导致腹部疼痛的非手术原因.
研究的目的:
- 对已公布的形尾炎 (EA) 病例进行系统审查.
- 分析患者的人口统计,症状,差异诊断和EA的治疗结果.
- 强调承认EA的重要性,以指导适当的管理,避免不必要的手术.
主要方法:
- 对EA的案例报告和系列的系统审查.
- 在Scopus,Medline,科学网和谷歌学者 (2000年1月 - 2023年11月) 进行文学搜索.
- 分析了196篇出版物,其中包括371名被诊断患有EA的患者.
主要成果:
- 患者的平均年龄为39岁,59%为男性.
- 主要症状包括疼痛 (100%),疼痛 (59.5%) 和反弹疼痛 (27.4%),最常见的是左腹部疼痛 (53%).
- 差异性诊断经常包括尾炎 (26.4%) 和分炎 (16.1%). 在53%的病例中使用了保守的治疗方法,而26.4%的病例则接受了手术.
结论:
- 急性形尾炎 (EA) 是一种罕见但严重的疾病,具有诊断挑战.
- 它可以被误认为是其他急性腹痛病因,需要仔细评估.
- 对EA的最佳管理是保守的;临床医生增加认可对于防止不必要的外科干预至关重要.
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