在患有血液性恶性瘤的患者中比较围瘤的外科和保守治疗方法:综合分析
Xun Wang1, Lili Pan2, Yanyan Qiu3
1Department of Proctology, Fujian Provincial People's Hospital, Fuzhou, Fujian, P.R. China.
BMC gastroenterology
|April 11, 2025
概括
患有血液性恶性瘤的患者的周围可以通过保守或手术治疗来管理. 虽然这两种方法都有效缓解症状,但手术显著降低了复发率,特别是在持久感染的人群中.
科学领域:
- 在瘤学瘤学.
- 外科胃肠道外科手术
- 传染性疾病 传染性疾病
背景情况:
- 周围 (PA) 是血液恶性瘤患者的严重并发症.
- 中性和出血风险使这些患者的PA手术管理复杂化.
研究的目的:
- 为了比较药理疗法与外科手术治疗的疗效,在患有血液性恶性瘤的患者中管理近腹.
- 评估两种治疗方法的治愈率,复发率和恢复时间.
主要方法:
- 对53名患有血液恶性瘤和围的患者 (2015-2022) 的回顾性研究.
- 患者被分为手术干预 (19) 和保守治疗 (34) 组.
- 随访时间为60天,以评估结果.
主要成果:
- 在90.5%的患者中,整体症状改善或消失.
- 保守和手术组之间治愈率没有显著差异 (p > 0.05).
- 手术组的复发率明显较低 (10.4%与23.6%,p>0.05),尽管在统计学上并不显著.
- 保守治疗显示恢复时间较短 (p = 0.048).
结论:
- 保守和手术治疗都是安全有效的,可以缓解围的症状.
- 建议进行外科手术以显著降低复发率,特别是在保守治疗失败后.
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