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在非手术治疗急性尾炎后的长期结果:基于人口的分析
Teagan Telesnicki1,2, Jordan Nantais3, Charles De Mestral1,2,4,5,6
1Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Annals of surgery
|October 16, 2024
概括
成年人急性尾炎的非手术治疗 (NOM) 在5年内有36%的复发或干预风险. 预定的尾切除术占这些长期干预的很大一部分.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 对急性尾炎 (AA) 的非手术治疗 (NOM) 越来越多地使用,尽管试验数据表明后续尾切除的风险很大.
- 基于人口的数据对于了解非手术治疗AA患者的长期结果至关重要.
研究的目的:
- 确定急性尾炎 (AA) 的非手术管理 (NOM) 后的长期再陈述和干预措施.
主要方法:
- 一项基于人口的队列研究分析了加拿大安大略省的成年患者,在2004-2019年期间呈现AA.
- 非手术治疗的患者 (在索引呈现或入院时没有程序) 被跟踪了五年.
- 计算了复合再呈现或干预的累积发病率,考虑到相应的死亡风险.
主要成果:
- 在13,200名非手术治疗AA患者中,36%的患者在5年内经历了重新呈现或干预.
- 五年后,16%的患者需要再次呈现或重新接受尾炎治疗,12%的患者接受了紧急尾切除术,21%的患者进行了预定的尾切除术.
- 在没有并发症的AA病例中,五年复合再呈现或干预率为32%.
结论:
- 现实数据表明,NOM后AA的紧急再呈现率或紧急手术率比以前报告的更低.
- 预定的尾切除术是急性尾炎的非手术治疗后长期干预的重要组成部分.
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