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我应该使用什么? 粘附障碍对术后腹部并发症的影响:系统性审查
Bhagvat J Maheta1, Priya Manhas1, Ashley Niu1
1California Northstate University College of Medicine, Elk Grove, CA, USA.
The American surgeon
|May 25, 2024
概括
粘附障碍在腹部手术中提供了模两可的好处. 建议因潜在的并发症而考虑个别情况,而不是预防性使用.
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
- 生物材料是一种生物材料.
背景情况:
- 在腹部手术后,术后的粘附是严重的担忧.
- 现有的粘附障碍物缺乏最近的全面系统审查.
- 这项研究分析了粘附屏障的有效性和患者的结果.
研究的目的:
- 系统地审查和分析不同类型的粘附障碍.
- 为了确定粘附障碍对术后结果的影响.
- 为特定的手术环境确定优质粘附屏障类型.
主要方法:
- 对PubMed,EMBASE和Scopus的14038篇文章进行了系统审查.
- 包括对接受粘附障碍的腹部手术患者的研究.
- 使用ROBINS-I工具进行质量评估.
主要成果:
- 包括20项涉及171,792名患者的研究;没有偏差的高风险.
- 大多数粘附障碍物显示出模两可的好处;没有一种类型是绝对优越的.
- 可生物吸收的障碍物在结直肠外科手术中表现有前途;基于粉的障碍物减少了阻塞.
结论:
- 附加障碍需要逐个评估.
- 由于并发症风险,不建议在所有腹部手术中进行预防性使用.
- 潜在的并发症包括,,腹膜炎和门泄漏.
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