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与循环结节术相关的并发症 循环结节术逆转延迟超过十二个月
Jinman Cai1, Madaliene Denison1, Hunter Sharp2
1Department of Surgery, Carilion Clinic - Virginia Tech Carilion School of Medicine, 1906 Belleview Ave SE, Roanoke, VA, 24014, USA.
Scientific reports
|October 18, 2024
概括
在12个月后关闭一个转向循环静脉切除术并不会延迟肠道功能恢复. 然而,延迟静脉切除术的关闭可能会增加30天的住院再入院,影响患者在切除术后的康复.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 胃肠道手术 胃肠道手术
背景情况:
- 转向循环静脉切除术对于静脉切除术后的静脉愈合至关重要.
- 结节管关闭的最佳时间仍在争论中,关于延迟关闭并发症的数据有限.
- 这项研究涉及超过创建后12个月的结石管关闭结果.
研究的目的:
- 为了研究延迟循环静脉关闭 (12个月以上) 的结果.
- 为了比较患者人口统计和早期 (<4个月) 和延迟 (>12个月) 结节管关闭之间的结果.
- 为了识别与延迟结节切开关闭相关的潜在并发症.
主要方法:
- 在2013-2023年期间进行循环静脉切除关闭的患者的回顾性审查.
- 两个队列的比较:对照组 (关闭时间<4个月) 和延迟组 (关闭时间>12个月).
- 统计分析使用威尔科克森的等级和,皮尔森的奇平方,费舍尔的精确测试,以及后勤/通用线性建模.
主要成果:
- 对照组有135名患者,延迟组有19名患者;延迟组的人口统计数据相似,但延迟组的并发病率较高.
- 延迟关闭有更长的手术时间和更高的30天再入院率 (p<0.05).
- 肠道功能恢复,停留时间或术后大肠病率没有显著差异.
结论:
- 延迟循环静脉静脉关闭 (>12个月) 不妨碍肠道功能恢复.
- 延迟关闭与增加的30天医院再入院率有关.
- 需要进行进一步的研究,以优化结肠切除术关闭时间,并减轻再接收风险.
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