肠裂是可以预防的吗?
Julio Fernandes Tomasi1, Fabielle Menezes Tolfo2, Lais Madeira Constantino1
1- Hospital São José, Serviço de Cirurgia Geral - Criciúma - SC - Brasil.
Revista do Colegio Brasileiro de Cirurgioes
|February 26, 2025
概括
这项研究评估了需要在内脏切除后腹壁整形的患者. 结果表明,预防性网状使用可以预防高风险患者的许多内脏切割.
科学领域:
- 腹部外科手术 腹部外科手术
- 手术并发症 手术并发症
- 伤口愈合 伤口愈合
背景情况:
- 严重的手术并发症 - - 内脏剥离,发生在3.5%的病例中.
- 对高风险患者的预防性网状网的使用已被探索.
- 评估患者的特征和预防性网状益处在内脏切割的情况下至关重要.
研究的目的:
- 为了描述由于内脏剥离而经历腹壁整形的患者.
- 评估预防性网的潜在益处,以防止内脏破裂.
主要方法:
- 对接受腹壁整形治疗的患者进行回顾性队列研究 (2010-2023年).
- 纳入:成年患者在同一个三级医院接受了中部通道手术和指数手术.
- 排除:儿科患者,腹腔镜外科手术,非中介的访问.
- 使用修改后的利马鹿特丹风险评分来测试肺神经瘤衰变.
主要成果:
- 样本:252名患者 (74.2%为男性),中位数年龄为64岁,中位数BMI为24.3kg/m2.
- 复制处理的中位时间:8天;血红蛋白中位数:11.1g/dL.
- 伴随性疾病:47.2%的瘤,32.1%的吸烟,13%的慢性肺炎,58.8%的选择性手术.
结论:
- 将修改后的鹿特丹分数应用于227名患者,表明72.2% (164名患者) 是预防网的候选人.
- 预防性网膜可能会在这个人群中防止大量的内脏切割.
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