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Jithin T Chand1, Rakesh R2, M S Ganesh3
1Department of Surgical Oncology, Vydehi Cancer Centre, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, Karnataka, India. jithintchand@gmail.com.
由于恶性瘤的高风险,成年人静脉注射管理优先进行手术,特别是在色肠病例中. 对比增强计算机断层扫描 (CECT) 对于诊断和指导治疗至关重要,避免减少试图防止瘤扩散.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 放射学 放射学是一门学科.
背景情况:
- 成年人内肠接是罕见的,缺乏标准化的协议,不像儿科病例.
- 这项研究将机构案例系列与系统文献综述结合起来.
- 其目的是确定成人内异常的有效管理策略.
研究的目的:
- 制定有效的管理策略,以对成年人内异常进行治疗.
- 为了确定成年人肠内的主要类型和病理点.
- 强调成像和手术原则在治疗中的作用.
主要方法:
- 系统的数据库搜索 (2000年1月 - 2024年5月).
- 包括在手术前或手术内诊断出肠静脉切割的成年患者,通过手术或保守的方式进行治疗.
- 机构患者记录的回顾性审查 (年龄大于18岁) 对于内肠接类型和病理领先点.
主要成果:
- 1,902名患者来自59篇文章;平均年龄为52.13岁.
- 计算机断层扫描 (CT) 在术前诊断了98.3%;腹痛是主要症状 (86.23%).
- 结合性静脉吸收 (16.82%) 显示出高恶性瘤关联;手术切除是常见的,避免减少 (29/1920病例).
结论:
- 由于恶性瘤的风险,手术管理是成年人肠道内的关键,特别是 colocolic 类型,由于恶性瘤风险.
- 避免减少尝试对于防止潜在的瘤扩散至关重要.
- 对比增强型计算机断层扫描 (CECT) 对于诊断和管理指导至关重要;瘤学原则在手术中至关重要.
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