结肠镜术后的尾炎:一个系统的审查
Kostas Tepelenis1, Christos K Stefanou2, Stefanos K Stefanou2
1Department of Surgery, General Hospital of Ioannina "G. Xatzikosta", Ioannina, Greece.
Asian journal of surgery
|September 5, 2024
概括
结肠镜后尾炎是一种罕见的并发症. 在结肠镜检查后早期识别疼痛和发烧等症状对于及时诊断和有效管理至关重要,通常涉及手术.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 诊断成像 诊断成像 诊断成像
背景情况:
- 结肠镜术后的尾炎是手术后的罕见但严重的并发症.
- 了解其临床特征和管理对于患者护理至关重要.
研究的目的:
- 系统地审查和综合有关结肠镜后尾炎的当前文献.
- 确定临床表现,诊断方法和治疗策略.
主要方法:
- 在PubMed和Embase数据库进行系统的文献搜索,截至2023年12月31日.
- 包括56篇文章,详细介绍了67例患者病例.
- 数据抽象由两个独立的审查员.
主要成果:
- 患者的中位年龄为54.9岁,男性占主导 (64.2%).
- 大多数患者 (79.1%) 在结肠镜检查后两天内出现.
- 诊断证实在70.2%通过CT或超声波; 88.1%通过手术治疗,主要是尾切除.
结论:
- 结肠镜后尾炎虽然很罕见,但需要临床怀疑与特征性症状.
- 及时诊断和适当的管理,主要是手术,导致令人满意的结果.
- 组织病理学经常显示急性或复杂的尾炎,便发作记录在31.3%.
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