80岁以上的老年患者中尾炎的临床意义 接受紧急尾切除术:单中心回顾性研究
Ling-Qiang Min1, Jing Lu2, Hong-Yong He3
1Department of General Surgery/Emergency Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China.
World journal of gastrointestinal surgery
|December 9, 2024
概括
80岁以上的尾炎和尾炎的老年患者面临更高的火和穿孔风险. 及时的手术干预对于这个高风险群体的更好的结果至关重要.
科学领域:
- 外科手术 医疗外科手术
- 胃肠病学 胃肠病学
- 老年医学 老年医学
背景情况:
- 带有尾炎的急性尾炎是老年人常见的紧急情况.
- 这种情况增加了老年患者火炎和穿孔的可能性.
研究的目的:
- 分析老年患者 (80岁以上) 的临床数据,这些患者因急性尾炎而接受紧急尾切除术.
- 确定影响结果的因素,并改进对这一人口群的治疗策略.
主要方法:
- 追溯分析了122名80岁以上的患者,这些患者接受了紧急尾切除术.
- 在患有尾炎和没有尾炎的患者之间比较临床病理和外科特征.
主要成果:
- 尾炎患者 (46/122) 的尾火 (84.8%) 和穿孔 (67.4%) 的发生率显著更高.
- 与非尾炎组 (19.7%) 相比,尾炎组的手术转换率较低 (2.2%).
- 两组之间没有观察到中位数住院 (5.0天) 的显著差异.
结论:
- 大约40%的急性尾炎的80岁以上老年患者患有尾炎.
- 尾炎的存在增加了尾瘤和穿孔的风险,需要及时的手术治疗.
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