老年人群中急性尾炎的非手术治疗:一篇综述
Amir Farah1, Anna Tatakis2, Amir Obeid3
1Surgery, Medical College of Wisconsin, Milwaukee, USA.
Cureus
|December 10, 2024
概括
老年患者尾炎的非手术治疗 (NOM) 显示短期成功,但复发率较高,往往需要推迟手术. 不管治疗方式如何,脆弱的患者面临着更高的风险,强调仔细选择NOM.
科学领域:
- 老年医学 老年医学
- 外科胃肠道外科手术
- 治疗急性腹痛 管理急性腹痛
背景情况:
- 尾炎是急性腹痛的常见原因,在老年人中,由于生理衰退和并发症,造成管理挑战.
- 尾切除术是传统的治疗方法,但用抗生素进行非手术治疗 (NOM) 是高风险或脆弱的老年患者的替代方案.
研究的目的:
- 审查NOM与老年患者尾炎手术的疗效和结果.
- 分析复发率,术后并发症,以及虚弱对治疗选择的影响.
主要方法:
- 最近的一些研究的文献综述,比较了老年人群中的NOM和外科尾切除术.
- 对结果的分析,包括复发,并发症和死亡率.
- 评估脆弱性作为治疗决策的因素.
主要成果:
- NOM可以短期管理无并发性尾炎,但老年患者的复发率明显更高,往往导致手术延迟和较差的结果.
- 脆弱的老年患者有较高的并发症和死亡风险,无论手术或非手术治疗.
- 谨慎的患者选择和个性化治疗对于这个人口中的NOM至关重要.
结论:
- 老年尾炎患者的非手术治疗需要仔细考虑,因为其复发率很高,并有可能推迟手术干预.
- 虚弱性显著影响老年尾炎患者的结果,需要量身定制的治疗策略.
- 必须对抗抗生素耐药性和并发症等长期考虑与NOM的好处进行权衡.
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