术后抗生素对非穿孔性尾炎的结果的影响:一个倾向性得分匹配的回顾性队列研究
Ji Hyeong Song1, Song-Yi Kim2, Youn Ju Lee2
1Department of Surgery, Inje University Haeundae Paik Hospital, Busan, Republic of Korea.
Surgery
|December 3, 2025
概括
手术后的抗生素不能预防非穿孔性尾炎的传染性并发症,有性,性或排泄性发现. 疹可能受益于它们的使用,但不建议定期服用.
科学领域:
- 外科手术 手术手术
- 传染性疾病 传染性疾病
- 临床医学 临床医学
背景情况:
- 术后抗生素在非穿孔性尾炎中的作用受到争议.
- 在手术期间发现的诸如瘤之类的发现可能会增加并发症的风险.
- 这项研究研究了抗生素对腹腔镜尾切除术并发症的影响.
研究的目的:
- 评估术后抗生素对感染并发症的影响.
- 为了分析非穿孔性尾炎的结果与特定的手术内发现.
- 评估抗生素使用与外科医生实践之间的相关性.
主要方法:
- 腹腔镜尾切除术的回顾性审查 (2020年7月至2022年12月).
- 纳入标准:成年患者有性,性或性发现;不包括穿孔性尾炎.
- 倾向性得分匹配用于比较术后抗生素使用与不使用.
主要成果:
- 炎独立地预测了感染性并发症 (P=.020).
- 手术后的抗生素没有显著减少感染并发症 (11.8%对12.6%,P=.843).
- 外科医生使用抗生素的比率有所不同,但与并发症发生率无关 (斯皮尔曼 ρ -0.100,P=.873).
结论:
- 手术后的抗生素没有被证明可以预防非穿孔性尾炎的传染性并发症,有性,性或排泄性发现.
- 抗生素的使用可能是有益的,特别是在涉及炎的情况下.
- 这些发现不支持常规术后抗生素的使用.
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