转向口腔对功能的影响
Takuki Yagyu1, Madoka Hamada1, Masahiko Hatta1
1Department of Gastrointestinal Surgery, Kansai Medical University Hospital, Hirakata, Japan.
Diseases of the colon and rectum
|September 11, 2024
概括
与结肠静脉切除相比,在患有先前存在的慢性病的患者中,结肠静脉切除转移可能会使功能恶化. 对于患有功能障碍风险的患者来说,仔细选择静脉管非常重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 外科胃肠道外科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 疑似影响功能,但与循环结肠静脉切除术的比较很少.
- 鉴于功能受损患者的手术数量日益增加,这一点至关重要.
研究的目的:
- 为了比较结节切除术与结肠切除术在关节保护性直肠手术后对功能的影响.
主要方法:
- 对135名经过直肠外科手术的患者进行了回顾性分析,其中包括转向口腔的患者 (2013年10月 - 2021年11月).
- 术前和术后血液尿素,血清肌和估计的膜过率的比较.
- 分析的重点是先前患有慢性病的患者和新发病的风险因素.
主要成果:
- 患有先前慢性脏病的患者在手术前后对血尿素和血清肌素的变化更大.
- 与此组的结肠静脉切除术相比,结肠静脉切除术显著与血清肌水平升高和估计的膜过率下降有关.
- 多变量分析确定了结节管和高血压作为新的术后病的独立风险因素.
结论:
- 与结肠静脉切除相比,结肠静脉切除转移带来更高的功能障碍风险,特别是在先前患有慢性脏病的患者中.
- 外科医生必须仔细考虑对易患功能障碍的患者选择静脉类型.
- 这项研究的回顾性质和外科医生在静脉位选择中的偏见是局限性的.
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