在分离后部件后发生间间
Georgy B Ivakhov1, Aleksandra A Kalinina2, Svetlana M Titkova2
1Pirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia. ivakhovsurg@gmail.com.
Hernia : the journal of hernias and abdominal wall surgery
|December 12, 2025
概括
切口的后部分离 (PCS) 可能导致间 (IPH),这会影响生活质量. 检测IPH对于评估PCS后的长期结果以及复发率至关重要.
科学领域:
- 腹壁外科手术 腹壁外科手术
- Hernia 修复 椎间板裂的修复
- 外科手术的结果
背景情况:
- 切口腹腔修复通常需要大缺陷的部件分离技术 (CST).
- 后部分离 (PCS) 是复杂的,结果通常由伤病率和复发率来评估.
- 不同的PCS技术的长期结果需要全面评估.
研究的目的:
- 为了评估各种后部分离 (PCS) 技术后的长期外科结果,用于中线切口腹.
- 通过术后计算机断层扫描 (CT) 数据和患者报告的生活质量得分来评估结果.
- 为了确定间 (IPH) 除了复发之外的意义.
主要方法:
- 一个前性收集的数据库 (2017-2022) 的患者进行Rives-Stoppa修复双边PCS (eTAR/TAR或Carbonell) 的回顾性分析.
- 腹壁CT扫描和EuraHS生活质量得分用于患者的评估.
- 不同PCS技术之间的结果比较.
主要成果:
- 180名患者中有120名 (66.7%) 在Rives-Stoppa后进行双边PCS的长期随访.
- 大多数患者 (79%) 没有CT检测到腹壁病理;20%的患者有不良结果 (复发或IPH).
- 20.0%的患者患上了术后间 (IPH),并发现8例复发. 较高的EuraHS分数与CT检测到的并发症相关.
结论:
- 间间 (IPH) 检测与复发评估同样重要,用于评估后部分离 (PCS) 后的长期结果.
- 无论是IPH还是复发都会对患者的生活质量产生重大影响.
- 包括成像和患者报告的结果在内的全面评估对于PCS评估至关重要.
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