损害控制手术在穿孔性门炎管理中的作用:系统性审查
Samyuktha Harikrishnan1, Sanathanan Neelakantan Ramaswamy2, Yashasvi Agarwal3,4
1College of Medicine, Gulf Medical University, Ajman, ARE.
Cureus
|September 11, 2025
概括
损伤控制手术 (DCS) 是一种有效的方法来管理穿孔性分炎,特别是在危急病患者中. 与传统方法相比,DCS通过稳定患者,减少诸如口腔瘤等并发症,提高肠道连续性来改善结果.
科学领域:
- 手术紧急情况管理
- 胃肠道手术 胃肠道手术
- 关键护理医学 关键护理医学
背景情况:
- 穿孔性垂炎是一个重要的外科紧急情况,需要立即干预.
- 生理不稳定的患者往往需要超越传统方法的替代管理策略.
- 损伤控制手术 (DCS) 已成为这种患者人口群的可行选择.
研究的目的:
- 系统地审查有关损害控制手术 (DCS) 治疗穿孔性膜炎的疗效的文献.
- 在重症患者中,将DCS结果与传统手术方法进行比较.
- 确定使用DCS治疗的穿孔性分炎的预后因素和关键管理原则.
主要方法:
- 对16篇文章 (2015-2025) 的系统审查,包括RCT,观察性研究,病例报告和指导方针.
- 遵守PRISMA 2020指南的文章选择.
- 使用的评价工具:AMSTAR 2,NOS,JBI,ROB,AGREE II,CHERRIES. 这些都是我们使用的.
主要成果:
- 与哈特曼手术等传统方法相比,DCS显示出显著的改善.
- 通过DCS进行生理稳定可以减少并发症,包括静脉形成,并改善解率.
- DCS与降低发病率和死亡率有关,并增强了肠道连续性.
结论:
- 损伤控制手术是一种有效的策略,用于管理穿孔性分炎,特别是在不稳定的患者.
- 在最终治疗之前,优先考虑患者的稳定性和控制腹膜炎至关重要.
- 需要进一步进行高质量的多中心研究,以制定DCS在穿孔性分炎的标准化指南.
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