在COVID-19感染期间急性尾炎的结果
Ahmed Elmoraly1,2, Jasreen Kaur Sandhu3, Jennifer A Thomas4
1General Medicine, East Sussex Healthcare NHS Trust, Hastings, GBR.
Cureus
|November 21, 2024
概括
这项研究比较了COVID-19期间急性尾炎的开放式与腹腔镜尾切除术,该研究发现腹腔镜手术有更多的并发症,而开放式手术导致更多的伤口感染. 患者数据和呈现方式影响手术结果.
科学领域:
- 手术 手术 手术
- 胃肠病学 胃肠病学
- 传染病流行病学 传染病流行病学
背景情况:
- 急性尾炎是全球紧急腹部手术的主要原因.
- 尾切除仍然是标准的治疗方法,开放式和腹腔镜方法是常见的.
- 随着COVID-19的流行,手术护理和患者的治疗结果面临着独特的挑战.
研究的目的:
- 为了比较急性尾炎的开放式和腹腔镜尾切除术的外科结果.
- 分析疼痛控制,住院,败血症和临床改善方面的差异.
- 在COVID-19大流行背景下评估这些结果.
主要方法:
- 在达德利集团NHS基金会信托基金会进行回顾性队列研究审计.
- 从患者记录 (出院,药物表,手术笔记等) 中收集的数据. 从2019年11月到2021年7月的时间.
- 对人口统计数据,术后并发症和感染率的分析.
主要成果:
- 腹腔镜尾切除组的整体术后并发症率较高 (22%对18%).
- 开放性尾切除组经历了较高的开放性伤口感染率.
- 观察到两组之间的人口结构差异,在开放尾切除组中女性比例较高.
结论:
- 对尾炎进行手术的决策需要对患者的因素和临床表现进行细微考虑.
- 观察到的并发症和伤口感染的差异凸显了在开放式和腹腔镜尾切除术之间做出选择的复杂性.
- 需要进一步的研究来了解这些变异的原因,并优化患者护理,特别是在COVID-19流行病等健康危机期间.
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