在阴道管道之后的腹:发生率,自然史和危险因素
Pierre-Yves Blanc1, Isabelle Fournel2, Nicolas Bel3
1Department of Visceral and Digestive Surgery, Centre Hospitalier Universitaire de Saint-Etienne, Saint-Etienne, France.
World journal of surgery
|September 14, 2024
概括
横管发生在近20%的患者身上,发生在以利亚管道尿路转移后,通常通过成像检测到. 肥胖是一个危险因素,而通过直肠肌肉放置骨头可能会防止这些.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
背景情况:
- 横肠是已知的后续的并发症 ostomy创建.
- 在囊管切除术后,阴道管半体带有独特的挑战.
- 了解发病率和风险因素对于有效管理至关重要.
研究的目的:
- 为了确定状管半体 (ICPH) 的发生率和自然史.
- 为了确定与ICPH发展相关的风险因素.
- 为预防和管理ICPH的战略提供信息.
主要方法:
- 连续接受了布里克的阴囊切除术的患者的回顾性分析.
- 数据收集包括手术前史,手术细节和手术后的随访时间长达5年.
- 记录了ICPH的临床和放射性诊断,以及发病时间.
主要成果:
- 在577名患者中,有115名患者 (20.6%) 患有ICPH.
- 大多数ICPH无症状,并通过成像诊断.
- 诊断的平均时间为12.4个月; 肥胖是危险因素,而横直肠骨位是保护性的.
结论:
- 在尿路转移后的患者中,大约有20%发生了阴道通道半体.
- 这种情况经常是亚临床的,并通过成像诊断,平均发病时间约为12.4个月.
- 肥胖增加了ICPH风险,而跨直肠静脉位提供了保护性的好处.
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