[尾切除术后非计划的重复手术是急性尾炎管理质量的特征]
I A Matveev1,2, I B Popov1,2, A A Baradulin2
1Tyumen State Medical University, Tyumen, Russia.
腹腔镜尾切除术显示,与开放手术相比,重复手术的发生率较低. 最近的趋势表明,急性尾炎的患者护理得到了改善,主要采用腹腔镜方法.
科学领域:
- 手术结果和手术技术的比较分析.
背景情况:
- 尾切除术是急性尾炎的一个常见的手术程序.
- 尾切除术后的重复手术可能由于各种并发症而发生.
研究的目的:
- 研究尾切除技术 (拉巴镜 vs 开放) 对重复手术的发生率,原因和特征的影响.
主要方法:
- 对1114次尾切除术的回顾性分析 (505次腹腔镜,609次开放).
- 评估重复手术发生率,原因 (感染性并发症,出血,内脏切除等). ) 和严重程度 (克拉维恩 - 丁多等级).
主要成果:
- 整体重复手术的发生率为1.4% (1.5%开放,2.0%腹腔镜).
- 在2023-2024年,腹腔镜尾切除术增加到81.7%,重复率为0.69%,而开放式手术的重复率为3.1%.
- 重复手术的常见原因包括感染并发症和腹腔内出血.
结论:
- 腹腔镜尾切除术的越来越多的偏好与改善的患者护理和减少重复手术的需求有关.
- 重复干预的发病率很低,这表明在治疗急性尾炎方面有相当大的机构专业知识.
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