复杂急性尾炎患者非手术治疗瘤发生率:一项前性研究
Jessica J Lie1, Kylie Nabata1, Jenny W Zhang2
1Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
Annals of surgical oncology
|February 19, 2025
概括
在非手术治疗的复杂尾炎中,尾瘤的发生率为16.0%. 在成像中怀疑恶性瘤预示着瘤,因此在所有患者中需要考虑间隔尾切除术.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 经非手术治疗的复杂尾炎的新生病发病率高于预期.
- 在此患者群体中,先前对瘤的估计可能被低估了.
研究的目的:
- 为了确定患有非手术治疗复杂尾炎的患者中瘤发生率.
- 在这个队列中确定尾瘤的预测因子.
主要方法:
- 从2019年到2023年对1166名尾炎患者进行前性队列研究.
- 包括75名患有复杂尾炎的患者,非手术治疗.
- 收集人口统计数据,临床过程,成像和病理学;用于预测分析的后勤回归.
主要成果:
- 在非手术治疗复杂尾炎的患者中,瘤发生率为16.0% (12/75).
- 在初始成像中怀疑恶性瘤显著增加了瘤的风险 (OR 8.13).
- 年龄,性别和尾直径并不是重要的预测因素.
结论:
- 在最初非手术治疗的复杂尾炎患者中,尾瘤的发生率很高.
- 研究结果表明,不论年龄,应该考虑对所有患者进行间歇性尾切除术.
- 对恶性瘤的成像怀疑是瘤的一个关键指标.
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
57
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...
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...
57
Appendicitis-I: Introduction
76
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
76
Acute Pancreatitis II: Clinical Manifestations and Management
83
Acute pancreatitis presents a complex medical emergency characterized by rapid onset inflammation of the pancreas, demanding timely diagnosis and management to prevent complications. The condition primarily manifests through severe upper abdominal pain that often radiates to the back. This pain intensifies following the consumption of fatty foods. Accompanying symptoms such as nausea, vomiting, abdominal distention, fever, dyspnea, cyanosis, and jaundice can vary in intensity but significantly...
83


