急性腹的呈现:对管理和结果的10年审查
Raziqah Ramli1, Zi Qin Ng1,2, Jason Diab1,2
1Department of Colorectal Surgery, Liverpool Hospital, Liverpool, NSW, Australia.
Journal of abdominal wall surgery : JAWS
|December 13, 2024
概括
急性半体 (PSH) 通常需要手术,复发率高. 紧急PSH的管理策略需要个性化,因为复杂的演示和结果.
科学领域:
- 腹部手术 腹部手术
- 椎间板裂修复 椎间板裂修复
- 胃肠道手术 胃肠道手术
背景情况:
- 急性半体 (PSH) 的表现范围从疼痛到危及生命的监禁.
- 治疗急性PSH,尤其是同时出现中线切口的病例,是一项挑战.
- 现有的文献主要涉及选择性PSH修复,对紧急情况的数据有限.
研究的目的:
- 评估管理急性半体 (PSH) 呈现的结果.
- 分析患者人口统计,临床表现和急性PSH的管理策略.
- 评估急性PSH的手术性与非手术性干预措施的有效性.
主要方法:
- 在10年的时间里 (2013年5月至2023年5月) 进行了22例急性半体 (PSH) 病例的回顾性分析.
- 收集的数据包括人口统计数据,索引操作,静脉管持续时间,临床表现,实验室/成像结果和管理结果.
- 非手术与手术干预结果的比较.
主要成果:
- 平均年龄为77岁,有14名男性;中位数查尔森并发症得分为5.
- 大多数PSH病例 (12/22) 是由于恶性瘤引起的,而末端结肠静脉切开是最常见的 (10/22).
- 13名患者接受了手术,包括口腔切除/搬迁和小肠切除;发生了一例术后死亡. 发现了五种复发情况. 在9名非手术治疗患者中,有7名患者后来接受了选择性重建.
结论:
- 急性半体 (PSH) 通常需要手术干预,与显著的复发率相关.
- 在紧急情况下,个性化方法对于急性PSH修复至关重要.
- 需要进一步的研究来制定急性半体的管理指南.
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