右侧和左侧复杂的结肠分裂炎的结果
Anh Tuan Nguyen1,2, Quang Tien Pham1,2, Hoi Van Tran1
1Gia Dinh People's Hospital, Binh Thanh District, Ho Chi Minh City, Viet Nam.
Surgery open science
|July 3, 2025
概括
复杂的结肠逆炎的管理因地点而异. 右侧病例通常较年轻,对保守治疗有反应,而左侧病例经常需要手术,并有更高的并发症率.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 结肠直肠手术 结肠直肠手术
背景情况:
- 在亚洲,复杂的结肠分裂炎的发病率越来越高.
- 在右侧结肠流炎 (RCD) 和左侧结肠流炎 (LCD) 之间观察到显著的管理差异.
研究的目的:
- 为了比较RCD和LCD的治疗结果.
- 为了确定复杂的结肠分裂炎并发症的危险因素.
主要方法:
- 对181名患有复杂结肠分泌体炎的患者的回顾性分析 (2022年1月 - 2024年9月).
- 99个RCD套件和82个LCD套件的比较.
- 对患者人口统计学,治疗方法,复发率和术后并发症的分析.
主要成果:
- RCD患者明显年轻 (平均年龄为43.3岁),而不是LCD患者 (平均年龄为63.9岁).
- 较高的复发率 (19.5%) 和手术干预率 (63.4%) 在LCD中被观察到与RCD相比 (分别为7.1%和9.2%).
- 在LCD病例中,住院时间较长,术后并发症发生率较高 (27.8%),包括三名患者的死亡率.
结论:
- 复杂的RCD在年轻患者中更为常见,并且通常以保守的方式进行管理,并取得了很高的成功.
- 复杂的液晶显示器经常需要由于腹膜炎而进行手术,并有更高的并发症风险.
- 发烧,C反应蛋白 (CRP) 水平升高,手术类型和长时间住院是复杂结肠分裂炎并发症的独立危险因素.
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