关于手术排水管在血管外科手术中的作用的系统审查
Dhafer Kamal1, Gowri Sivaramakrishnan2, Amr Ashour3
1Vascular and Endovascular Surgery, King Hamad University Hospital, Bahrain Defence Force Royal Medical Services, Al Sayh, BHR.
Cureus
|June 13, 2025
概括
血管外科手术中的手术排水显示出混合的结果,对液体控制有潜在的好处,但感染风险增加. 不推常规使用;根据患者的风险和程序的复杂性来定制应用.
科学领域:
- 血管外科 血管外科
- 外科手术的结果
- 基于证据的医学基于证据的医学.
背景情况:
- 手术排水在血管外科手术中很常见,用于管理液体并预防并发症.
- 然而,由于不一致的证据和缺乏标准化指南,它们的有效性和最佳使用仍然不清楚.
研究的目的:
- 系统地审查手术排水在血管程序中的作用.
- 评估对并发症,伤口愈合,住院和患者康复的影响.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Google Scholar) 进行全面的文献搜索.
- 包括随机对照试验,队列和病例控制研究,遵守PRISMA指南.
- 九项研究符合分析的纳入标准.
主要成果:
- 关于排水有效减少血瘤和出血的发现是混合的,有一些特定于人群的好处.
- 手术部位感染的风险增加经常与排水使用有关.
- 排水可能有助于管理腹内压力在特定的程序,如大动脉动脉瘤修复,但整体恢复影响是不确定的.
结论:
- 在血管外科手术中常规使用外科排水管不被普遍推,因为结果可能会变化.
- 应根据患者的风险因素和手术过程的复杂性来个性化排水.
- 需要进一步进行高质量的研究,以建立基于证据的指导方针.
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