急性尾炎非手术治疗中的尾炎:对复发的影响和未来的方向
1Department of Burns and Plastic Surgery, Zhongshan City People's Hospital, Zhongshan 528400, Guangdong Province, China. tian-ju@163.com.
在非手术治疗的非并发性急性尾炎中,尾炎或尾中的化沉积不会增加整体复发率. 然而,它们可能会导致早期的症状复发.
科学领域:
- 胃肠病学
- 外科创新
- 临床结果研究
背景情况:
- 尾炎在急性尾炎中很常见,传统上被视为非手术治疗失败的危险因素.
- 关于尾炎对未经并发症治疗的非复杂性尾炎患者的复发率的影响仍在讨论中.
- 本评估考察了一项关于尾炎特征及其对无并发症AA的NOM结果的影响的研究.
研究的目的:
- 批判性地评估尾炎特征与非手术性治疗无并发性急性尾炎的结果之间的关系.
- 评估尾炎对非并发性尾炎患者复发率和时间表的影响.
主要方法:
- 对797名没有并发症的AA患者的回顾性分析.
- 与无尾炎患者之间的复发率的比较.
- 长期随访 (中位数为44. 2个月),对尾炎特征进行分组分析.
主要成果:
- 在患有尾炎和没有尾炎的患者之间,整体复发率没有显著差异 (26. 5% vs 19. 1%).
- 患有尾炎的患者出现更早的复发 (3. 9个月 vs 5. 9个月) 并具有更大的尾直径.
- 尾炎的大小,位置或数量与复发风险无关.
结论:
- 在用NOM治疗的非并发性尾炎患者中,不独立地增加整体复发风险.
- 尾炎可能会加速复发.
- 个人风险评估,考虑到临床和放射性因素,对于不复杂的AA治疗决定至关重要.
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