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俄罗斯外科医生当前的手术实践和对柱状鼻疾病的态度:一项全国调查

Darya Shlyk¹, Vladimir Balaban¹, Mingze He²

¹Clinic of Coloproctology and Minimally Invasive Surgery, Sechenov University, Moscow, Russia.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland

|February 8, 2025

概括

俄罗斯外科医生主要使用传统的中线切除术进行柱状鼻疾病 (PSD) 手术,仅限于采用较新的最小侵入性技术. 这凸显了更新国家指导方针的必要性,以改善这种常见疾病的患者护理.

科学领域:

结肠直肠病学 (coloproctology) 是一种大肠直肠病学.
一般外科整体外科
手术实践分析手术实践分析

背景情况:

柱状鼻疾病 (PSD) 是一种普遍的慢性疾病,主要影响年轻男性,没有确立的黄金标准治疗方法.
目前PSD的管理策略各不相同,需要对当代做法进行评估.

研究的目的:

分析和评估俄罗斯外科医生当前的PSD实践,诊断方法和外科手术方法.
评估俄罗斯外科医生的培训和态度,以对待柱状鼻疾病的管理.

主要方法:

一项由35个结构化问题组成的在线调查是由俄罗斯结肠直肠外科医生协会开发的.
该调查针对结肠直肠和整体外科医生,收集有关PSD和相关的人口统计,经验,培训和手术技术的数据.

主要成果:

大多数受访者 (96%) 是经验丰富的结肠直肠科医生或全科医生,每年进行10-50次PSD手术.
切割与中线闭合 (68%),开放愈合 (62%) 和 marsupialization (59%) 是最常见的外科手术程序.
虽然许多人可以使用激光疗法,但在PSD的鼻激光辅助关闭中,其使用率很低 (16%).

结论:

俄罗斯的柱状鼻疾病手术主要采用传统的中线切除术,最少采用离中线或微创手术.
该研究强调需要更多地关注PSD患者的护理和俄罗斯国家指导方针的制定.

关键词:

结直肠外科医生结直肠外科医生柱状鼻疾病是指柱状鼻疾病.手术手术手术手术手术手术手术调查调查调查调查调查调查调查调查

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