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慢性胰腺炎的手术趋势从2014年到2021年
Andrew Turunen1, Sushil Kumar Garg2
1Medical College of Wisconsin-Central Wisconsin, Wausau; and.
Pancreas
|November 26, 2024
概括
良性慢性胰腺炎 (CP) 的外科手术程序减少,但死亡率和胰腺抽率也显著下降. 手术和术后护理方面的进步可能有助于改善这些结果.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 胰腺疾病 胰腺疾病
背景情况:
- 良性慢性胰腺炎 (CP) 的管理通常需要进行手术以缓解疼痛.
- 良性CP的手术趋势和结果尚未确立.
- 识别胰腺囊等并发症的预测因素对于改善患者护理至关重要.
研究的目的:
- 从2014-2021年分析良性CP的每年手术趋势.
- 评估死亡率,发病率和胰腺 rate 的变化.
- 为了确定胰腺囊形成的预测因子,在为良性CP进行手术的患者.
主要方法:
- 利用美国外科医生学院国家外科质量改进计划 (ACS-NSQIP) 数据库 (2014-2021) 的数据.
- 包括为良性CP进行手术的患者.
- 进行单变量和多变量分析以确定趋势和预测因素 (P ≤0.05).
主要成果:
- 胰腺外科手术增加了49.3%,但特定于胰腺癌的手术减少了31.7%.
- 胰腺的发病率下降了44.9%,死亡率下降了31.9%.
- 胰腺抽的预测因素包括没有糖尿病,手术前的败血症,软胰腺质地和患者体重较高.
结论:
- 良性CP的手术已经大幅减少,尽管它在长期疼痛管理中的有效性.
- 观察到的死亡率和胰腺抽率的降低表明手术和术后护理的改善.
- 进一步的研究可能将重点放在优化良性CP的手术候选人和技术上.
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