事实:即使是晚期的也可以在没有手术的情况下治疗吗? 在治疗方面发生了范式的转变
Pankaj Garg1, Inna Tulina2, Dong-Lin Ren3
1Department of Colorectal Surgery, Garg Fistula Research Institute, Panchkula 134113, Haryana, India. drgargpankaj@gmail.com.
World journal of gastrointestinal surgery
|July 31, 2025
概括
本综述讨论了TONEFACT治疗的方法,表明它可以有效地治疗没有手术的晚期病例,提高患者的满意度,减少手术干预的需要.
科学领域:
- 胃肠病学和结肠直肠外科手术
背景情况:
- 是常见的直肠疾病,晚期通常需要手术.
- 在过去的十年中,对的保守治疗取得了重大进展.
研究的目的:
- 根据广泛的临床经验,对TONEFACT治疗的方法进行意见审查.
- 突出了先进的保守管理的潜力,旨在减少手术干预.
主要方法:
- 的TONEFACT方法,一个保守的管理概念.
- 证据主要来自观察性研究和一项针对85名患者的前性非随机研究.
主要成果:
- 托尼法克特方法已经证明,它有能力在没有手术的情况下治疗很大比例的晚期.
- 治疗概念显示了高的患者满意度.
- 在早期中观察到排便时间的改善和脱落症状的减少.
结论:
- 在许多病例中,TONEFACT方法为手术提供了一个有前途的替代方案,包括高级阶段.
- 需要通过随机对照试验进行进一步的验证,以巩固关于TONEFACT方法有效性的结论.
- 该评论强调了保守策略在现代治疗中的潜力.
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