在癌症的直肠切除后循环静脉切除的结果:来自意大利多学科STOmas研究小组 (MISSTO) 的前性观察多中心快照研究
F Ferrara1, G Rizzo2, A Bondurri3
1Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), Unit of General and Oncologic Surgery, "Paolo Giaccone" Hospital, University of Palermo, Via Alfonso Giordano, 90127, Palermo, Italy. francesco.ferrara08@unipa.it.
Techniques in coloproctology
|December 11, 2024
概括
结直肠癌手术往往涉及结直肠切除术,这可能导致脱水等并发症. 拥有专门的口腔护士可以显著降低这些风险,改善患者的治疗结果和口腔护理.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 手术瘤学手术瘤学
- 患者的治疗结果.
背景情况:
- 转向静脉切开术是直肠癌手术后的常见手术.
- 脑膜静止术与严重的并发症率有关,影响患者的康复.
- 了解这些并发症对于优化外科护理至关重要.
研究的目的:
- 分析结直肠癌患者在结直肠切除术创建后,结直肠相关并发症的发生率和类型.
- 报告病症,技术方面,以及护士对口腔护理的有效性.
- 为了确定影响静脉并发症率的因素.
主要方法:
- 意大利45个中心287名患者的前性数据收集 (2022年2月至12月).
- 在前直肠癌切除后,患者接受了保护性静脉切除术.
- 使用单变量和多变量分析来评估并发症因素.
主要成果:
- 短期和长期的耳栓相关的发病率分别为33.8%和29.62%.
- 常见的并发症包括脱水 (17.77%),皮肤皮肤炎 (13.59%) 和粘膜皮肤分离 (8.36%).
- 口腔护士的存在是预防并发症的重要保护因素,83.97%的口腔被关闭.
结论:
- 在直肠癌手术中,保护性结肠切除术具有>25%的短期和长期发病风险.
- 脱水是最常见的并发症;专门的口腔护士可以减轻风险.
- 在随访时,超过15%的保护性口腔仍然未关闭.
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