结肠镜后尾炎:文献综述和管理指南
Navid Moghimi1, Lars Joachim Lindberg2,3
1Department of Gastrointestinal Surgery, University Hospital of Southern Denmark, Aabenraa, DNK.
Cureus
|December 1, 2025
概括
结肠镜后尾炎是一种罕见但未被诊断出来的并发症. 本综述提出了一种结构化的方法,用于早期识别和管理这种情况.
科学领域:
- 胃肠病学 胃肠病学
- 手术并发症 手术并发症
- 诊断医学 诊断医学
背景情况:
- 结肠镜检查后的尾炎是一种未被认可的并发症.
- 缺乏临床指导方针阻碍了早期诊断.
- 非特定的症状往往掩盖了这种罕见的情况.
研究的目的:
- 综合关于结肠镜后尾炎的证据.
- 为早期识别提出一个结构化的方法.
- 为了解决这种罕见并发症的诊断缺口.
主要方法:
- 从1980年到2024年进行了全面的文献搜索 (PubMed,Embase,Google Scholar)
- 选了74篇摘要,其中21篇文章被选中进行全文审查.
- 综合有关发病率,机制,表现,诊断和治疗的数据.
主要成果:
- 估计发生率为每10,000次结肠镜检查中3.8-4.9例.
- 大多数病例在48小时内出现RLQ疼痛,发烧和白细胞瘤.
- 拟议的机制包括压力,巴罗创伤,便位移和创伤.
结论:
- 在结肠镜检查后的腹痛中应考虑急性尾炎.
- 一种结构化的临床方法有助于早期识别和及时管理.
- 提高意识和及时成像可以改善患者的结果.
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