随着灌的预防性手术排水放置,可以减少严重,未被控制,穿孔尾炎的患者腹的形成
Michael A Stellon1, Devashish S Joshi1, Russell Herberg2
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, Madison, WI, 53792, USA.
Pediatric surgery international
|November 28, 2024
概括
带有灌的预防性手术排水可能会减少穿孔尾炎的术后. 这种方法有希望在广泛受污染的情况下预防并发症.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- 传染性疾病 传染性疾病
背景情况:
- 穿孔性尾炎可能导致20-25%的病例形成.
- 广泛的污染会增加术后的风险.
- 评估预防措施对于改善患者治疗结果至关重要.
研究的目的:
- 评估预防性封闭吸入手术排水 (SD) 结合灌在预防术后腹的疗效.
- 为了比较不同管理策略的未被控制的穿孔性尾炎的儿科患者的结果.
主要方法:
- 一个多中心的回顾性审查的115名儿科患者与无限制的穿孔尾炎 (2020年1月 - 2023年8月).
- 患者被分为四组进行分析:SD用灌,SD仅用灌,仅用灌,没有.
- 进行了有限的灌,所有手术排水都朝骨盆方向.
主要成果:
- 与其他组 (33.3%-37.0%,p=0.001) 相比,手术排水和灌 (5.1%) 的组中 rate明显较低.
- 在组合治疗组中,不需要干预性放射学排水.
- 手术排水时间为4.1天,而在没有手术排水的组中,干预性放射性排水时间更长.
结论:
- 将灌与预防性手术排水装置相结合,可以有效地预防严重,未被控制的穿孔尾炎的术后.
- 需要进行前性研究来证实这些发现,并制定最终的治疗指南.
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