在患有炎症性肠病的患者中,选择性 inguinal hernia 网状修复后的长期结果
Hans Lovén1, Rune Erichsen2,3, Anders Tøttrup4
1Centre for Surgical Science, Zealand University Hospital, University of Copenhagen, Lykkebækvej 1, Køge, 4600, Denmark. hans.loven@gmail.com.
概括
阴道网修复对于患有炎症性肠病 (IBD) 的患者来说是安全的,并发症和复发的风险较低. 结局不受IBD亚型,手术方法或围抽的影响.
科学领域:
- 胃肠病学和外科手术
- 炎症性肠道疾病研究研究
- Hernia 修复 结果 结果
背景情况:
- 在炎症性肠道疾病 (IBD) 患者的 inguinal hernia mesh 修复的长期结果尚不清楚.
- 克罗恩病 (CD) 和性结肠炎 (UC) 之间的差异可能会影响网状并发症和复发.
- 调查裂性疾病和手术技术的影响至关重要.
研究的目的:
- 评估IBD患者在 inguinal hernia mesh 修复后与网状相关的并发症的重新手术风险.
- 在CD和UC患者的 inguinal hernia mesh修复后评估复发风险.
- 分析结核病和手术技术对这些结果的影响.
主要方法:
- 从2007年至2016年进行的全国性队列研究.
- 包括接受选择性 inguinal 网修复的IBD 患者.
- 使用累积发病率和考克斯回归分析进行风险估计.
主要成果:
- 五年重新手术的风险:0.5%的网状并发症,5.7%的复发在1,072名IBD患者中.
- 在6.9%的IBD患者 (95%的周围门患者) 中存在流性疾病.
- 复发风险不受IBD亚型或外科手术技术 (开放式/腹腔镜) 的影响.
结论:
- 阴道网修复似乎对IBD患者来说是安全的,无论亚型,手术技术或围抽.
- 这些因素对复发风险没有显著的影响.
- 由于数据不足,无法得出结论,认为腹腔裂疾病是危险因素.
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