胃穿孔紧急胃切除术中的风险因素分析和手术结果:单中心回顾性队列研究
Min Hong Lee1, Yoon Mo Kim2, Mi Kyung Oh2
1Department of Surgery, Hanyang University Guri Hospital, Hanyang University School of Medicine, Seoul, Korea.
Annals of surgical treatment and research
|September 26, 2025
概括
紧急胃切除术是胃穿孔的可行治疗方法,但老年患者或症状延迟的患者需要仔细规划. 量身定制的策略可以改善结果,特别是在高发病率的胃癌地区.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 紧急医疗 紧急医疗
背景情况:
- 胃穿孔是一种危急的疾病,对其原因 (良性与恶性) 存在诊断挑战.
- 组织学确认对于紧急胃穿孔病例的最终诊断至关重要.
研究的目的:
- 分析胃穿孔紧急胃切除术的结果.
- 在接受紧急胃切除术的患者中确定术后死亡的风险因素.
- 为了比较胃穿孔的良性 () 和恶性 (癌症) 病因之间的结果.
主要方法:
- 79名因胃穿孔而接受紧急胃切除术的患者 (2010-2024) 的回顾性分析.
- 根据病理学,将患者分为和癌症组.
- 对临床数据,术前条件和术后结果的单变量和多变量分析.
主要成果:
- 高龄 (≥75岁),症状持续时间 (≥48小时) 和ASA状态IV-E是死亡的重要风险因素.
- 癌症组经历了更长的手术时间;组使用呼吸机的次数更高.
- 两组之间没有观察到总体死亡率的显著差异.
结论:
- 紧急胃切除术是胃穿孔的可行治疗方法,特别是在胃癌发病率高的地区.
- 对于老年患者,有延迟症状或身体状况不佳的患者来说,仔细的手术规划至关重要.
- 建议采用个性化治疗策略,以提高高风险人群中患者的治疗结果.
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