在不复杂的急性尾炎中,不需要住院治疗的口服抗生素治疗:从回顾性队列研究中获得的长期结果
Alisina Bulut1, Muhammed İkbal Akın2, Vildan Görgülü3
1Department of General Surgery, Marmara University Faculty of Medicine, Fevzi Cakmak, Muhsin Yazıcıoğlu Cd No: 10, Pendik, Istanbul, 34899, Türkiye. alisinabulut@gmail.com.
在34个月内,口服抗生素成功地治疗了70%的患者的无并发性尾炎,避免了手术. 需要手术的尾炎复发通常发生在10个月内.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 手术创新 在外科创新.
背景情况:
- 无并发性尾炎的治疗传统上包括尾切除术.
- 抗生素治疗是一种替代方案,但存在关于复发的担忧.
- 对无并发性尾炎的最佳抗生素治疗方案尚未明确定义.
研究的目的:
- 为了评估口服抗生素治疗无并发性尾炎的长期成功.
- 为了确定口服抗生素治疗后尾切除术避免率.
- 确定可能影响治疗结果的因素.
主要方法:
- 在99名无并发性尾炎患者接受口服抗生素治疗的单中心回顾性研究.
- 患者在没有住院的情况下从急诊室出院.
- 治疗成功定义为随访期间没有尾切除术;分析了因素.
主要成果:
- 在34个月的中位数随访后,70%的患者避免了手术.
- 一年治疗成功率为76%.
- 大多数需要手术的复发性尾炎病例 (80%) 发生在10个月内;没有发现显著的患者因素.
结论:
- 口服抗生素单一治疗可以在大多数无并发性尾炎病例中长期预防尾切除.
- 需要进一步的前性研究来确定治疗成功的预测因素.
- 这种方法为部分患者提供了可行的非手术选择.
更多相关视频
04:02Laparoscopic Cholecystectomy with Indocyanine Green Fluorescence: Choledochoscopic Stone Extraction and Primary Duct Suture
Published on: November 25, 2025
08:33Quantitative Polymerase Chain Reaction-based Analyses of Murine Intestinal Microbiota After Oral Antibiotic Treatment
Published on: November 17, 2018
相关概念视频
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Acute Pyelonephritis II: Diagnostic Studies and Management
Tonsillitis II: Management
Treating Helicobacter pylori in Peptic Ulcers: Antimicrobial Therapy
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
