急性柱状:荷兰未来的全国性审计
Eleonora A Huurman1,2, A A Sophie den Otter2, Christel A L de Raaff2
1Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
概括
急性柱状的切口和排水具有较低的并发症率,但不到一半的患者能成功治愈伤口. 大多数患者在一年内不需要为慢性柱状鼻疾病进行进一步的手术.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 外科手术的结果
- 柱状鼻疾病管理管理
背景情况:
- 柱状鼻疾病 (PSD) 是一种常见的需要手术干预的疾病.
- 急性柱状 represent一个显著的PSD表现的子集.
- 了解当前荷兰手术实践和急性的结果对于改善患者护理至关重要.
研究的目的:
- 评估荷兰急性柱状的外科治疗和临床结果.
- 评估伤口愈合率,并发症发生率和切口和排水 (I&D) 后的复发.
- 确定对症状性慢性PSD和患者生活质量的长期影响.
主要方法:
- 在36家荷兰医院进行了前性观察队列研究.
- 包括的患者在2020年3月至2021年3月期间接受了为柱状鼻疾病的手术治疗.
- 分析的重点是患者呈现急性柱状,随访1年评估各种结果.
主要成果:
- 在681名PSD患者中,208名 (30.5%) 患有急性,99% 接受切口和排水 (I&D).
- 在42.2%的病例中,I&D后的成功伤口愈合被观察到,中位数关闭时间为43天,并发症率为4.4%.
- 在1年内,7.3%的人经历了复发,8.8%的人有症状慢性PSD,尽管91.2%的人不需要额外的手术.
结论:
- 对急性柱状的切口和排水表明并发症率低,但伤口愈合率低于最佳.
- 很大一部分患有急性的患者会发展为慢性PSD,需要进一步的管理策略.
- 大多数用I&D治疗急性的患者在第一年内不需要为慢性PSD进行进一步的手术干预.
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