男性的直肠扩张:一个叙述性回顾
Simon Nienhuijs1, Renske Wijgers2, Elles Schipper2
1Department of Surgery, Catharina Hospital Eindhoven, Eindhoven, The Netherlands. simon.nienhuijs@cze.nl.
概括
直肠扩张 (RD) 在男性中很常见,影响25%-30%的人口,但治疗不足. 提高对男性RD的认识和关注对于更好的患者结果至关重要.
科学领域:
- 一般外科 整体外科
- 腹壁的重建 腹壁的重建
- 男性的骨盆健康 骨盆健康
背景情况:
- 在男性患者中,直肠扩张 (RD) 经常被忽视.
- 现有的文献对男性特异性RD流行和管理提供了有限的见解.
- 本综述解决了有关男性直肠扩散的知识差距.
研究的目的:
- 收集有关男性直肠扩散的现有证据.
- 要总结管理男性RD的临床建议.
- 为了突出男性直肠扩散的诊断不足和治疗不足.
主要方法:
- 在多个数据库中进行全面的文献搜索.
- 专注于研究男性群体中直肠扩张的研究.
- 独立的研究选和质量评估与数据提取.
主要成果:
- 报告的男性RD的患病率为25-30%,与 (47%) 和动脉瘤 (67%) 等并发症相比较高.
- 经过治疗的RD率明显较低 (4-14%).
- 影响 linea alba 质量的因素包括肥胖,纤维减少和吸烟;核心稳定性与腰部疼痛相关.
结论:
- 男性的RD患病率至少是治疗率的两倍,需要更多的临床关注.
- 临床医生应评估男性患者的RD,特别是那些患有腹腔的患者,并检查直肠间距离.
- 需要进一步的研究和提高认识,以改善男性直肠扩散的诊断和管理.
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