抗生素与急性尾炎手术的三年随访
Annals of the Royal College of Surgeons of England
|February 23, 2026
概括
对尾炎的抗生素治疗导致高复发率和错过癌症的风险. 手术尾切除术是一种更安全的选择,并发症较少. 患者应被告知这些风险与非手术管理.
科学领域:
- 一般外科 整体外科
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
背景情况:
- 急性尾炎是一种常见的手术紧急情况.
- 抗生素治疗是无并发性尾炎的新兴选择.
- 这项研究评估了对尾炎抗生素治疗的长期结果.
研究的目的:
- 为了研究用抗生素治疗急性尾炎的患者的三年结果.
- 评估抗生素治疗后尾炎的复发率.
- 在非手术治疗的患者中识别潜在的遗漏病理,包括新生体.
主要方法:
- 对尾炎的计算机断层扫描 (CT) 扫描报告的回顾性审查 (2020年1月 - 2021年12月).
- 将尾炎分类为无并发症或并发症.
- 收集抗生素治疗患者的人口统计数据,治疗细节,并发症和复发信息.
主要成果:
- 在1008例尾炎病例中,212例 (21.0%) 用抗生素治疗.
- 在195名接受非手术治疗的患者中,随访3年,42.6%的患者出现了复发,而29.2%的患者需要手术.
- 在CT诊断的无并发性尾炎病例中的3.2%和手术样本中的3.5%中检测到新生体.
结论:
- 尾炎的抗生素治疗与显著的复发和错过瘤的可能性有关.
- 尾切除仍然是一个安全的手术,严重并发症的发生率很低.
- 非手术治疗的知情同意必须包括复发和癌症诊断延迟的风险.
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