直肠扩散的分类和治疗原则
1General and Digestive Surgery Department, Fundación Alcorcón University Hospital, Alcorcón, Madrid, Spain. pilar.mphernandez@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|August 30, 2025
概括
治疗直肠扩散缺乏明确的指导方针,有许多手术选择,但相对证据有限. 推使用EHS分类系统,强调共享决策以获得最佳的患者结果.
科学领域:
- 一般外科
- 腹壁的重建
背景情况:
- 在过去的15年里,直肠扩张在一般外科医生中获得了显著的关注.
- 许多分类系统和超过45种外科手术 (开放式,腹腔内镜,机器人) 已被开发用于治疗.
研究的目的:
- 总结现有的直肠扩散的分类系统.
- 为不同患者提供建议的手术技术.
主要方法:
- 在PubMed,EMBASE和Web of Science数据库中进行了全面的文献搜索.
- 关于直肠扩散的分类和治疗的出版物没有时间或语言限制 (英语/西班牙语).
主要成果:
- 确定了直肠扩散的七种不同的分类系统.
- 存在各种各样的手术技术,但只有两个分类表明特定的程序.
- 患者被广泛分为中线和没有中线的患者,影响治疗选择.
- 没有发现与手术技术进行比较的随机对照试验,这表明缺乏最佳治疗选择的证据.
结论:
- 由于其简单性和适用性,建议使用EHS分类系统.
- 患者和外科医生的共同决策对于选择合适的治疗方法至关重要.
- 建议设立国际登记处,以收集数据并阐明直肠扩散病管理的最佳做法.
相关概念视频
Assessment of the Rectum and Anus
399
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
399
Mitral Valve Prolapse II: Assessment and Management
39
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
39


