在没有先前手术的患者中小肠阻塞的结果:系统性审查
Kyle D Klingbeil1, Ami Hayashi1, Erik Balians1
1Department of Surgery, UCLA David Geffen School of Medicine, Los Angeles, California.
The Journal of surgical research
|February 14, 2026
概括
大多数没有先前手术 (NPA-SBO) 的小肠阻塞患者可以成功地进行非手术治疗. 这种方法显示出较低的并发症和复发率,使其成为对精选个体的合理初始疗法.
科学领域:
- 胃肠病学 胃肠病学
- 外科胃肠道外科手术
- 临床医学 临床医学
背景情况:
- 在没有先前腹部手术 (NPA-SBO) 的患者中,小肠阻塞带来了诊断和治疗方面的挑战.
- 传统上,NPA-SBO管理涉及操作性勘探,但最近的证据表明,非操作性的方法可能是有效的.
研究的目的:
- 系统地审查和对非手术治疗成年NPA-SBO患者的结果进行元分析.
- 确定成功接受非手术治疗的患者比例,并确定相关并发症,复发,恶性瘤和粘附率.
主要方法:
- 1996年至2023年间发表的研究的系统审查和元分析.
- 包括15项研究,包括855名被诊断患有NPA-SBO的成年患者.
- 用初级和二级结果的随机效应模型计算的聚合估计.
主要成果:
- 74%的NPA-SBO患者的非手术治疗成功.
- 23%的手术治疗患者出现并发症,而非手术治疗患者的并发症为10%.
- 在12%和36%的NPA-SBO病例中分别发现了恶性病变和粘附,负面腹腔切除的比例为14%.
结论:
- 在大约74%的NPA-SBO患者中,非手术治疗是成功的,并发症和复发率较低.
- 对于适当选择的NPA-SBO患者,初始的非手术治疗是合理的.
- 对于特定病例,手术仍然至关重要,但首先应考虑非手术治疗.
相关概念视频
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.6K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K
Predicting Reaction Outcomes
11.0K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
11.0K
Random and Systematic Errors
15.4K
Scientists always try their best to record measurements with the utmost accuracy and precision. However, sometimes errors do occur. These errors can be random or systematic. Random errors are observed due to the inconsistency or fluctuation in the measurement process, or variations in the quantity itself that is being measured. Such errors fluctuate from being greater than or less than the true value in repeated measurements. Consider a scientist measuring the length of an earthworm using a...
15.4K
Systematic Sampling Method
13.4K
Sampling is a technique to select a portion (or subset) of the larger population and study that portion (the sample) to gain information about the population. Data are the result of sampling from a population. The sampling method ensures that samples are drawn without bias and accurately represent the population. Because measuring the entire population in a study is not practical, researchers use samples to represent the population of interest.
Systematic sampling is one of the simplest methods...
Systematic sampling is one of the simplest methods...
13.4K
Outcomes of Glycolysis
107.8K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
107.8K


