插入后的管理胆囊管管道的急性胆囊炎:一个系统的审查
Andrea Spota1, Ali Shahabi1, Emma Mizdrak1
1Departments of Surgery.
Surgical laparoscopy, endoscopy & percutaneous techniques
|February 3, 2025
概括
皮穿式胆囊排水管 (PGD) 的管理缺乏标准的协议. 本综述综合了在急性胆囊炎患者的随访成像,管管理和延迟胆囊切除术时间的常见做法.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 手术管理的手术管理.
背景情况:
- 透皮胆囊排水 (PGD) 治疗高风险急性胆囊炎患者.
- 由于人口老龄化和并发症,PGD使用量增加.
- 缺乏对排水管的程序后管理的共识.
研究的目的:
- 合成用于PGD管管理的共同协议.
- 描述后续成像和管切除的最佳时间.
- 确定从PGD到延迟胆囊切除术的理想间隔.
主要方法:
- 对2000年至2023年期间的研究进行系统审查.
- 包括患有急性胆囊炎的成年患者接受PGD.
- 搜索了MEDLINE,Embase,Cochrane;使用了NHLBI的质量评估.
主要成果:
- 分析了来自94项研究的22,349名患者 (合理质量).
- 大多数研究 (92.7%) 使用成像用于PGD随访.
- 输卵管摘除平均>4周;延迟胆囊切除术通常发生在5周后.
结论:
- 从目前的证据来看,很难建立标准化的PGD管理.
- 必须依赖现有的共同协议.
- 需要进一步的研究来确定最佳的PGD后护理途径.
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