缩短胃镜时代粘性小肠阻塞手术的时间
Yuen-Joyce Liu1, Jordan Dean1, Alyson S Cunningham1
1Department of Surgery, University of Connecticut School of Medicine, Farmington, Connecticut.
The Journal of surgical research
|July 13, 2025
概括
胃谱 (GG) 用于粘合性小肠阻塞 (SBO) 显著减少了手术室时间和住院时间. 这种治疗方法也导致所需的整体手术数量大幅减少.
科学领域:
- 胃肠病学 胃肠病学
- 外科手术的结果
- 医学诊断 医学诊断 医学诊断
背景情况:
- 胃谱 (GG) 经常用于粘性小肠阻塞 (SBO),既具有诊断作用,也具有治疗作用.
- 关于GG对SBO患者临床结果的特定影响的研究有限.
- 本研究评估了手术干预时间,住院时间和手术频率在采用GG作为标准护理方案后发生的变化.
研究的目的:
- 评估Gastrografin (GG) 对粘性小肠阻塞 (SBO) 患者的临床结果的影响.
- 为了比较到手术室 (OR) 的时间,停留时间 (LOS) 和手术前后数量,GG成为标准护理.
- 确定影响OR时间和SBO患者总LOS的因素.
主要方法:
- 美国外科医生学院国家外科质量改进计划数据库中成人SBO患者的回顾性分析 (ICD-9/10) (2012-2016年前GG,2019-2023年后GG).
- 多变量线性回归用于分析与OR和总LOS的时间相关的因素.
- 统计学意义设置为P ≤0.05.
主要成果:
- 总共分析了13257名GG前患者和7333名GG后患者.
- 在GG后,OR的时间平均为2.33天 (相对于GG前的2.63天,P<0.001),LOS平均为6.09天 (相对于GG前的10.51天,P<0.001).
- 在GG之后,外科手术减少了44.7% (7,333 vs 13,257 在GG之前).
结论:
- 在GG后治疗的粘合性SBO患者证明了OR和较短的医院LOS的时间缩短.
- 将GG作为标准护理的实施与手术干预次数显著减少有关.
- 结果表明,GG与改善的临床结果和在粘合性SBO管理中的资源利用有关.
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