成年人肠道内:一个系统性审查
Sidney Heersche1,2, Jeanne Hirt1,2, Fabio Butti1,2
1Department of Visceral Surgery, Lausanne University Hospital CHUV, Lausanne, Switzerland.
World journal of surgery
|August 20, 2025
概括
对于成年人肠道内的治疗有争议. 本综述强调了结肠直肠接收的恶性瘤风险,建议进行瘤切除,并根据点指导肠直肠接收治疗.
科学领域:
- 胃肠病学
- 外科瘤学
- 腹部手术
背景情况:
- 在肠道内肠异常治疗方面,对于保守与手术的方法缺乏共识.
- 对于输入胎的外科手术选择也在讨论中.
研究的目的:
- 系统地审查成年人肠道内的管理.
- 为成年人开发治疗决策算法.
主要方法:
- 对PubMed/MEDLINE,科学网络,谷歌学者,SCOPUS/EMBASE和科克莱恩图书馆 (2004-2024) 的系统审查.
- 包括20名患者的研究;不包括病例报告和小病例系列.
- 分析了37项总共2330名成年患者的研究.
主要成果:
- 肠道内静脉位占65%,大脑内静脉位占21%,大脑内静脉位占20%.
- 在58%的病例中发现了病理性点,而在25%的病例中发现了恶性瘤 (高于结肠病).
- 49%的患者进行了手术治疗,主要是开放式手术 (72%).
结论:
- 内引起恶性瘤的高度怀疑,建议在没有减少的情况下进行瘤切除.
- 肠道静脉接收管理应考虑长度,呈现方式和点的发现.
- 手术数据异质,强调需要标准化报告.
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