相关实验视频

Updated: May 27, 2025

Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma

Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma

Published on: August 9, 2016

[确定胃肠道手术后患者手术部位感染的表型]

X F Zhang¹, Y Y Yang¹, M L Wu²

¹Research Institute of General Surgery, Jinling Hospital, the Affiliated Second Clinical Hospital, School of Medicine, Southeast University, Nanjing210009, China.

Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery

|February 19, 2025

概括

潜在类分析在胃肠道手术患者中发现了四种临床表型. 这些表型范围从手术部位感染 (SSI) 风险低 (类型α) 到高SSI风险 (类型 δ),有助于有针对性的预防策略.

科学领域:

胃肠病学胃肠病学
手术瘤学手术瘤学
传染病流行病学传染病流行病学

背景情况:

手术部位感染 (SSI) 是胃肠道手术后的重大并发症,导致长时间住院,增加成本和患者死亡率.
了解接受胃肠道手术的患者的不同临床特征对于有效的SSI预防和管理至关重要.

研究的目的:

为了研究经过胃肠道手术的患者的临床表型.
确定与手术部位感染 (SSI) 相关的临床特征.
为预防胃肠道手术患者SSI提供参考.

主要方法:

一项多中心前性队列研究,涉及16,087名在中国42家医院接受胃肠道手术的成年患者.
从2021年3月到2022年2月收集基线和术后临床数据.
隐性类分析 (LCA) 用于探索人口特征,并根据SSI相关变量将患者分为不同的临床表型.

主要成果:

在接受胃肠道手术的患者中,确定了四种不同的临床表型 (α,β,γ,δ).
类型α (低风险,0.4%SSI) 主要涉及尾外科手术. 类型β (中等风险,1.2%的SSI) 和类型γ (中等风险,1.7%的SSI) 分别与胃和结直肠手术有关.
类型 δ (高风险,4.8% SSI) 代表了最严重的表型,开放式手术,小肠/胃手术的比率更高,死亡率增加 (0.6%),住院时间更长,医疗费用更高.

结论:

潜在类分析有效阐明了胃肠道手术患者的四种不同的临床表型.
这些表型与手术部位感染 (SSI) 的不同风险相关:类型α (低),类型β和γ (中等),类型δ (高).
这种分类为调整SSI预防策略以适应特定患者表型提供了有价值的见解.

更多相关视频

Postoperative Ileus Murine Model

Postoperative Ileus Murine Model

Published on: July 12, 2024

Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis

Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis

Published on: December 18, 2010

相关概念视频

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Appendicitis-II: Diagnostic Studies and Management

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...