同时的急性尾炎和胆囊炎:一个系统的文献综述
Adem Tuncer1, Sami Akbulut2, Emrah Sahin1
1Department of Surgery, Istanbul Aydin University Faculty of Medicine, 34295 Istanbul, Turkey.
Journal of clinical medicine
|July 29, 2025
概括
同步急性胆囊炎和急性尾炎是罕见的,具有挑战性的诊断. 早期成像和临床评估是快速腹腔镜治疗和必要的组织病理学审查的关键.
科学领域:
- 胃肠病学和肝病学
- 手术瘤学手术瘤学
- 腹部手术 腹部手术
背景情况:
- 同步急性胆囊炎 (AC) 和急性尾炎 (AAP) 是一种罕见的临床表现.
- 由于潜在的并发症,准确的诊断和及时的管理至关重要.
研究的目的:
- 系统地审查和评估患者的临床,诊断和治疗特征与同时AC和AAP.
- 确定这种罕见疾病的最佳诊断和管理策略.
主要方法:
- 从1975年到2025年,在多个数据库 (PubMed,MEDLINE,科学网,Scopus,谷歌学者) 进行系统的文献搜索.
- 包括与同步AC和AAP的患者级临床数据的研究.
- 根据PRISMA 2020指南,独立审稿人进行数据提取和质量评估.
主要成果:
- 包括44篇文章,分析了40名患者 (平均年龄41岁) 的数据.
- 白细胞病是常见的 (25/33);超声波和CT是主要的诊断工具.
- 在27名患者中进行了腹腔镜胆囊切除术和尾切除术,并发症率低. 组织病理学证实了AAP在25例和AC在14例中.
结论:
- 同步AC和AAP很少见,在诊断上具有挑战性,需要通过成像和临床评估进行早期识别.
- laparoscopic 手术管理是首选的方法.
- 手术样本的组织病理学检查对于检测出意想不到的发现和指导患者护理至关重要.
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