经过部解剖后的双边胆胸部:系统性审查和建议的管理算法
Salman Hussain1, Jafar Hayat2, Fatma Ibrahim2
1Department of Otolaryngology - Head and Neck Surgery, University of Ottawa, Ottawa, ON Canada.
概括
双边胸,部剖析 (ND) 的罕见并发症,需要全面的管理. 本综述概述了当前的治疗选择,并提出了一种算法,以优化这种严重疾病的患者护理.
科学领域:
- 医学科学 医学科学 医学科学
- 手术瘤学手术瘤学
- 胸部外科手术 胸部外科手术
背景情况:
- 双边胸是部剖析 (ND) 后的罕见但严重的并发症.
- 管理通常涉及多模式方法,包括饮食,医疗,程序和手术干预.
研究的目的:
- 审查目前对ND后的双边胆胸腺体的临床管理策略.
- 提出一个管理算法来指导临床决策和优化患者的结果.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 搜索的数据库包括Pubmed,EMBASE和科学网络.
- 主要结局侧重于临床表现,ND类型和干预措施;次要结局包括解决时间和患者结局.
主要成果:
- 鉴定出37名双侧肌胸病患者 (1951-2018),乳头甲状腺癌是最常见的潜在病理.
- 进行了各种部剖析类型,包括手术 (栓塞或结) 在内的治疗方法.
- 所有确定的病例都得到了解决,释放时间从2天到40天不等.
结论:
- 本综述综合了双边胆胸骨的各种管理方式.
- 一个拟议的决策算法为诊断工具和治疗策略提供了指导.
- 目标是提高患者护理,优化这种罕见并发症的治疗结果.
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