创伤性腹壁:在诊断和管理方面15年的单一中心经验
Hye Young Woo1,2, Kyoungwon Jung3,4
1Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, 164 World cup-ro, Yeongtong-gu, Suwon, 16499, Republic of Korea.
Surgery today
|November 19, 2025
概括
创伤性腹壁 (TAWH) 经常错过,尽管CT可检测. 建议在可行的情况下进行早期手术修复,选择性延迟修复显示出良好的结果.
科学领域:
- 创伤外科 手术 创伤外科
- 腹壁的重建 腹壁的重建
- 诊断成像 诊断成像 诊断成像
背景情况:
- 创伤性腹壁 (TAWH) 是高能量重创伤的罕见后果.
- 诊断经常延迟或错过,导致管理策略不一致.
研究的目的:
- 描述TAWH的临床表现,诊断困难和手术结果.
- 为了分析韩国一家主要创伤中心15年的经验.
主要方法:
- 从2010年到2024年被诊断出TAWH的患者的回顾性审查.
- 数据收集包括人口统计,损伤机制,的特征,手术时间和结果.
主要成果:
- 在17852名形腹部创伤患者中发现了28例TAWH病例 (0.16%).
- CT检测到96.4%的,但只有48.1%的报告.
- 腰部 (38.7%) 和前部 (29.0%) Hernia 是常见的; 89.3% 相关的腹内损伤.
- 在22名接受手术治疗的患者中,90.9%的患者进行了早期修复;延迟的网状维修没有出现复发.
结论:
- 尽管有明显的CT证据和严重创伤的关联,TAWH仍未得到充分认可.
- 支持早期手术修复,以及在合适的情况下选择性延迟网状修复.
- 创伤提供者之间提高意识对于改善TAWH诊断和管理至关重要.
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