在丸扭转中手动扭曲成功的预测因素
Metin Yığman1, Berk Yasin Ekenci2, Hüseyin Mert Durak2
1Department of Urology, Ankara Etlik Integrated Health Campus, Halil Sezai Erkut Street, Varlik, Etlik, Kecioren, 06170, Ankara, Turkey. m.yigman@hotmail.com.
International urology and nephrology
|July 10, 2024
概括
手动扭曲 (MD) 在丸扭曲 (TT) 中的成功取决于年龄,症状持续时间和单细胞/乙氨基酸比率 (MER). 年龄较大,症状持续时间较长,MER高预测TT患者的MD失败.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
- 儿科手术 儿科手术
背景情况:
- 丸扭曲 (TT) 的及时诊断和治疗对于器官救援至关重要.
- 手动扭曲 (MD) 是推的TT的初始干预措施.
研究的目的:
- 研究丸扭曲 (TT) 患者手动扭曲 (MD) 成功的预测因素.
主要方法:
- 在2015年至2024年期间,对94名TT患者进行了回顾性分析,他们接受了MD.
- 在成功和失败的MD组之间比较人口,临床,超声波和实验室数据.
- 后勤回归分析以确定MD失败的风险因素.
主要成果:
- 在55.3%的患者中,MD成功,在44.7%的患者中失败.
- 各组之间的不同因素包括年龄,症状持续时间,TWIST得分,WBC,中性细胞,单细胞计数和MER.
- 患MD失败的危险因素是年龄>18岁,症状持续时间>9小时,MER>28.
结论:
- 年龄,症状持续时间和MER是MD在TT成功的可靠预测指标.
- 对于所有TT病例,MD被推作为首次干预,这些因素指导了预期.
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