乳房静止术与小发炎的初级关闭相比 两种或更多预后因素不佳的患者的乳房静止孔穿孔
Zaharaddeen Wada1, Abdurrahman Abba Sheshe2, Habila U Na'aya3
1Consultant General Surgeon, Department of Surgery, Federal Teaching Hospital Katsina, Nigeria.
概括
尼日利亚的伤寒膜穿孔的骨髓切除术显示出比初级关闭更好的结果,严重并发症较少,口服摄入恢复更快. 这表明,对高风险患者来说,结节切开术可能是可取的.
科学领域:
- 外科手术 手术手术
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 伤寒膜穿孔是尼日利亚的一种严重疾病,死亡率高.
- 手术的选择包括初级关闭和结节切开术,结果仍在争论中.
- 这项研究侧重于多种不良预后因素的患者.
研究的目的:
- 为了比较结肠静脉切除术与伤寒结核孔穿孔的初级关闭的结果.
- 评估30天死亡率,手术部位感染 (SSI) 和口服时间.
- 评估尼日利亚高风险患者的最佳手术方法.
主要方法:
- 尼日利亚阿米努·卡诺教学医院的一项随机研究,持续了一年.
- 56名患者被分为两组,一组是结肠静脉切除 (n=28) 组,一组是初级关闭 (n=28).
- 排除标准包括即将死亡的患者和非伤寒穿孔. 使用SPSS版本25进行分析.
主要成果:
- 在这两组中,手术部位感染 (SSI) 率都很高 (71.9%的结节管,82.1%的初级关闭).
- 严重的并发症,如腹部破裂和便囊,仅发生在初级关闭组中.
- 脊髓切除术患者恢复口服更快 (2.30天 vs 3.71天),整体死亡率较低 (7.1% vs 21.4%).
结论:
- 脊髓切除术显示出优势,包括较少的严重并发症和更快的恢复肠道养.
- 虽然在统计学上没有显著意义,但结节切除术显示SSI和死亡率较低.
- 个性化手术方法,有利于高风险患者的骨髓切除术,可以改善伤寒骨髓穿孔的结果.
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