拉丁美洲和加勒比地区的左侧尾炎:对病例报告的系统审查
Fabian A Chavez-Ecos1, Mayli M Condori-Orosco1, Anahy de la Colina-Sosa1
1Sociedad Científica de Estudiantes de Medicina de Ica (SOCEMI), Facultad de Medicina Humana, Universidad Nacional San Luis Gonzaga, Ica, Perú.
Arquivos de gastroenterologia
|November 28, 2024
概括
左侧急性尾炎 (AA) 可以异常呈现,特别是在拉丁美洲和加勒比地区. 网站逆向总体在这些情况下是一个常见的异常,突出需要更广泛的诊断考虑.
科学领域:
- 医学科学 医学科学 医学科学
- 外科胃肠道外科手术
- 解剖病理学 解剖病理学
背景情况:
- 急性尾炎 (AA) 是全球急性手术腹部的主要原因.
- 非典型的AA呈现,包括左下象限疼痛,通常与解剖学异常有关.
- 拉丁美洲和加勒比地区 (LAC) 是全球AA发病率最高的地区.
研究的目的:
- 调查LAC左侧AA患者的社会人口统计和临床特征.
- 在该区域内分析患有左侧AA的个体的术后结果.
- 为了确定与LAC的左侧AA相关的普遍解剖异常.
主要方法:
- 进行了对多个数据库 (PubMed,Scopus,Web of Science,Embase,LILACS,Dialnet,Redalyc,Scielo,Google Scholar) 的系统审查.
- 纳入标准集中在来自LAC的左侧尾炎病例报告与特定的解剖学异常.
- 使用Joanna Briggs研究所的案例报告工具来评估方法质量.
主要成果:
- 包括23名左侧AA患者的23份病例报告;哥伦比亚报告了最多的病例.
- 患者的中位数年龄为37岁,最初的疼痛往往扩散或迁移到左下腔.
- 网站逆向总体 (SIT) 是最常见的异常 (69.6%),腹腔切除术是主要的手术方法 (65.2%).
结论:
- 左侧AA应考虑在成年人呈现左下象限腹部疼痛的差异诊断.
- 网站逆向总体是与左侧尾炎相关的占主导地位的解剖变异在这个人群中.
- 识别非典型表现和相关异常对于LAC的AA有效管理至关重要.
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