通过初级关闭或真空辅助关闭治疗的二次腹膜炎患者的死亡率:基于全国注册的队列研究
Pooya Rajabaleyan1,2, Lasse Kaalby1,2, Ulrik Deding1,2
1Research Unit for Surgery, Odense University Hospital, Odense, Denmark.
BJS open
|November 11, 2025
概括
这项研究发现,初级腹部关闭 (PAC) 和二次腹膜炎真空辅助关闭 (VAC) 之间的死亡率没有显著差异. 接受VAC治疗的患者在基线时表现出更高的疾病严重程度,但在两种手术方法中,结果仍然相似.
科学领域:
- 手术重症监护手术重症监护
- 胃肠病学 胃肠病学
- 传染病 传染病 传染病
背景情况:
- 由于胃肠道穿孔而引起的二次周周炎具有显著的死亡风险.
- 管理包括手术控制,抗生素和复苏.
- 主要腹部关闭 (PAC) 和真空辅助关闭 (VAC) 之间的选择是有争议的.
研究的目的:
- 为了比较初级腹关闭 (PAC) 与二次腹膜炎患者的真空辅助关闭 (VAC) 的死亡结果.
- 分析多个时间点的死亡率:整体,30天,90天和1年.
主要方法:
- 全国丹麦队列研究 (2007-2021) 紧急手术患者的二次腹膜炎.
- 包括13898名接受PAC或VAC治疗的患者.
- 从国家登记处提取数据;主要结局是全因死亡率.
主要成果:
- 整体死亡率没有显著差异 (49.1%的VAC与52.0%的PAC相比,P=0.222).
- 两组的30天死亡率为16.9% (P=0.656).
- 90天和1年死亡率也显示,PAC和VAC之间没有显著差异.
结论:
- 主要腹关闭 (PAC) 和真空辅助关闭 (VAC) 显示了对二次腹膜炎的可比死亡率.
- 接受VAC治疗的患者表现出更高的基线疾病严重程度,由并发症和实验室标志物表明.
- 研究结果表明,在这种患者群体中,这两种技术都没有显著的生存优势.
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