无并发性尾炎的治疗:间隔尾切除术是一个有效的策略吗?
Kohki Takeda1, Takeshi Yamada2, Ryo Ohta2
1Department of Gastroenterological Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo, 113-8603, Japan. take-yokohama@nms.ac.jp.
Surgery today
|February 2, 2026
概括
间歇性尾切除术 (IA) 对非复杂性尾炎 (UA) 的紧急手术 (ES) 没有显著的益处. 紧急手术导致住院时间缩短,这表明它可能是UA的首选治疗方法.
科学领域:
- 外科手术的结果
- 胃肠道手术 胃肠道手术
- 附录是管理的管理.
背景情况:
- 间隔尾切除术 (IA) 的好处已被确立为复杂的尾炎.
- 对于无并发性尾炎 (UA) 的IA疗效尚不清楚.
- 在临床实践中,UA患者经常接受IA.
研究的目的:
- 调查UA的IA与紧急手术 (ES) 的有效性.
- 在UA患者中比较IA和ES之间的外科治疗结果.
- 为了确定UA手术后并发症的危险因素.
主要方法:
- 对UA的腹腔镜手术的回顾性分析 (2017年1月-2023年12月).
- 在ES (N=161) 和IA (N=102) 组之间对手术结果的比较.
- 对12个因素的多变量分析,以确定术后并发症的危险因素.
主要成果:
- 在ES和IA组之间,并发症率 (任何,C-D级≥I,C-D级≥III) 在ES和IA组之间是相似的 (P=0.38,P=0.26).
- 在ES组,总住院时间显著较短 (P<0.001).
- 整体术后并发症率为5.3% (14/263名患者);没有独立的风险因素被确定.
结论:
- 紧急手术 (ES) 在无并发性尾炎 (UA) 中显示出有利的外科结果.
- 间隔尾切除术 (IA) 为UA提供了最小的额外益处.
- 应将ES视为无并发性尾炎的主要治疗选择.
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