创伤后非阴性腰椎/侧椎的管理:诊断和治疗选择-系统性审查,元分析和管理算法
Abdulaziz Elemosho1, Jeffrey E Janis2
1Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, 915 Olentangy River Road, Suite 2100, Columbus, OH, 43212, USA.
Hernia : the journal of hernias and abdominal wall surgery
|February 14, 2025
概括
创伤后非创伤性腰椎/侧椎 (LFH) 很少见,但需要通过CT扫描进行及时诊断. 用网状网进行开放修复是较大的瘤的标准,观察到的复发率为8%.
科学领域:
- 手术 手术 手术
- 创伤外科 手术 创伤外科
- 腹壁的重建 腹壁的重建
背景情况:
- 创伤后非创伤性腰椎/侧椎 (LFH) 是腹部创伤后不常见的损伤.
- 对于其诊断和管理的证据有限.
- 这项研究系统地审查了现有的文献,以解决这一差距.
研究的目的:
- 总结创伤性LFH的诊断和管理策略.
- 识别与创伤性LFH相关的并发症.
- 分析不同修复技术的结果.
主要方法:
- 对PubMed,EMBASE和Scopus数据库进行系统审查.
- 包含了关于创伤后非阳性LFH的完整数据的研究.
- 遵守PRISMA系统审查指南.
主要成果:
- 分析了62篇文章 (1993-2023) 中的211个案例.
- CT扫描证实了96.1%的诊断;大多数位位于下部 (86.8%).
- 用网状网状的开放修复 (59.8%) 是最常见的;复发率是8%在15.4个月.
- 侧侧血瘤和的大小≥8厘米预测中腔管损伤.
结论:
- CT扫描对于诊断侧翼创伤患者的LFH至关重要.
- 侧侧血瘤或大缺陷 (≥8厘米) 时,对中肠外流的高度怀疑是合理的.
- 大型的标准是用网状网进行开放性修复;较小的则采用腹腔镜方法.
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