患急性尾炎的尾切除术后发生腹内的危险因素:一项回顾性队列研究
B P Mao1,2, G Collins3,4, F E Ayeni5
1Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia. brooke.mao@health.nsw.gov.au.
Langenbeck's archives of surgery
|August 9, 2024
概括
入院时C反应蛋白 (CRP) 的升高可能预测除术后腹内 (IAA). 尾穿孔也增加了IAA的风险,而长时间的抗生素似乎没有影响IAA的发展或洗需求.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
背景情况:
- 在澳大利亚, laparoscopic 尾切除术是急性尾炎的常见手术.
- 腹内 (IAA) 是已知的并发症,但风险因素定义不佳.
- laparoscopic 洗可能是必要的,以管理像IAA这样的并发症.
研究的目的:
- 确定腹腔镜尾切除术后发生术后IAA的危险因素.
- 为了确定需要腹腔镜冲洗的患者的IAA预测因子.
主要方法:
- 分析了423名经过腹腔镜尾切除术 (2012-2017) 的患者的数据.
- 包括临床,生化,放射和手术因素.
- 对手术前,手术期间和手术后数据的统计分析.
主要成果:
- 5.4%的患者发生了手术后的IAA.
- 入院时C-反应蛋白 (CRP) 的升高和尾穿孔是IAA和需要洗的显著预测因素.
- 没有任何临床或放射学发现预测了IAA的发展或洗的需要.
结论:
- 升高的入院CRP可能预测IAA的形成或需要腹腔镜洗后尾切除术.
- 术后长期使用抗生素是独立于IAA的发展和洗要求.
- 需要在尾切除术后对外科手术期间使用抗生素的明确指导方针.
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