左半球切除术后症状性内的危险因素:一个多中心的回顾性研究
Siyuan Yin1,2,3,4,5, Haibo Li6, Jun Xu7
1Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Surgical endoscopy
|February 7, 2025
概括
在左半球切除术后关闭中腔缺陷可能会降低症状性内 (SIH) 的风险. 这种罕见的并发症可能会导致严重的后果,但适当的手术管理可以帮助预防它.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 与中腔管相关的内 (SIH) 是左半球切除术后的一种罕见但严重的并发症.
- SIH可能导致上部胃肠道阻塞和急性肠道缩.
研究的目的:
- 为了研究左半球切除术后出现症状性内 (SIH) 的潜在风险因素.
- 在接受左半球切除术的患者中确定SIH的预防策略.
主要方法:
- 在10家三级医院对468名接受左侧血液切除术的患者进行了回顾性审查.
- 分析基线数据,手术程序和早期术后并发症,包括通过成像检测SIH.
主要成果:
- 六名患者 (1.28%) 患上SIH,需要重新手术.
- 患有SIH的患者不太可能通过手术关闭他们的中肠缺陷 (0%与56.1%相比).
- SIH患者经历了显著更长的术后住院时间 (50.5天 vs 14.6天).
结论:
- 在左半球切除术期间未能关闭中腔缺陷可能会增加SIH的风险.
- 建议主动管理中肠缺陷,以防止在左半球切除术后出现症状性内.
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