在急性复杂尾炎中避免预防性腹内排水的时间:最新的系统性审查和元分析
Mohamed Wael Ahmed1, Yousra Elshoura1, Neal Pun1
1General Surgery, Queen's Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Staffordshire, GBR.
Cureus
|December 12, 2025
概括
对于复杂的尾炎,本次审查发现,在尾切除术后不使用腹腔排水导致并发症减少和住院时间缩短. 当使用排水管时,儿童的腹部收集风险更高.
科学领域:
- 外科手术的结果
- 胃肠病学 胃肠病学
- 基于证据的医学基于证据的医学.
背景情况:
- 尾切除术是一种常见的外科手术程序.
- 复杂的尾炎通常涉及对手术后并发症的担忧.
- 在尾切除术中,使用腹腔排水是有争议的做法.
研究的目的:
- 对复杂尾炎的尾切除术中排水与无排水组进行比较的临床结果进行系统审查和元分析.
- 评估腹腔排水对术后并发症和住院时间的影响.
- 评估排水使用的安全性,特别是在儿科患者中.
主要方法:
- 在多个数据库 (MEDLINE,PubMed,ScienceDirect,Embase,Scopus,ClinicalTrials.gov) 进行系统的文献搜索.
- 包括21项研究,包括4930名患者 (1809名有排水道,3121名没有).
- 超分析以比较排水和无排水组之间的临床结果.
主要成果:
- 两组之间在术后腹部采集或死亡率上没有显著差异.
- 没有排水的小组显示,手术部位感染,便,肠道阻塞和性阴道的发生率明显较低.
- 没有排水的患者在医院停留时间更短.
- 儿科亚组分析表明,排水组的腹部收集风险增加.
结论:
- 对于复杂的尾炎,在尾切除术中常规使用腹腔排水与术后并发症的增加有关.
- 省略排水可能会导致更好的患者结果,包括减少感染率和更短的住院时间.
- 腹部排水可能会增加腹部收集的风险,在为复杂的尾炎进行尾切除的儿科患者.
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