术后腹膜粘连的预防方法。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL
Chersi Gudiev, Sergey Minaev, Viktor Vasiliev
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引用次数: 0

摘要

目的:评价作者方法在不同年龄组患者中预防术后腹膜粘连(PAs)的效果。方法:共纳入285例患者。将两个年龄组的患者分为两组:1组(治疗组)采用笔者方法治疗143例,2组(对照组)采用预防腹内粘连的标准方法治疗142例。所有患者均因粘连性肠梗阻(AIO)紧急手术。患者既往有1 ~ 3次AIO手术。在每一组中,确定了患病儿童和成人。两组的性别分布具有可比性。结果:第1组AIO的复发率明显低于第2组(分别为1.4%和6.3%)。结论:作者提出的预防粘连AIO复发的方法在粘连AIO患者中显示出其有效性。此外,在儿童中使用该方法可使AIO复发率降低3倍以上;在成人患者中,防止临床显著的PA体征的发展,使患者的生活质量正常化。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Method of prevention of post-operative peritoneal adhesions.

Objective: The purpose of the research was to assess the performance of the method of prevention of post-operative peritoneal adhesions (PAs) (author's method) in patients of different age groups.

Methods: Two hundred eighty-five patients were in total enrolled in the study. The patients of two age groups were divided into two groups: Group 1 (treatment group), where the author's method was used on 143 patients, and Group 2 (control group) 142 patients, where was used the standard approach of prevention of intra-abdominal adhesions. All patients were operated in an urgent order on adhesive intestinal obstruction (AIO). The patients previously had surgery on AIO one to 3 times. Within each group, sick children and adults were identified. The gender distribution was comparable in both groups.

Results: The recurrence of AIO was significantly less in Group 1 than in Group 2 (1.4% and 6.3%, respectively, p<0.05). A separate study of the results of treatment in the age aspect in groups showed some features. Among children the AIO relapse rate in study Groups 1 and 2: Early AIO-in 1 (0.86%) and 2 (1.8%) patients, respectively; late AIO-in 1 (0.86%) and 4 (3.5%), patients, respectively. Among adults who didn't have relapse AIO during the follow-up period in Group 1. The AIO relapse rate in Group 2: Early AIO - in 1 (3.5%) and late AIO-2 (6.9%) patients, respectively.

Conclusion: The proposed author's method for preventing AIO recurrence has shown its effectiveness among patients with adhesive AIO. Besides, using this method in children to reduce the AIO relapse rate by more than thrice; in adult patients, to prevent the development of clinically significant signs of PA and normalize the patient's quality of life.

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来源期刊
Northern Clinics of Istanbul
Northern Clinics of Istanbul MEDICINE, GENERAL & INTERNAL-
CiteScore
0.40
自引率
0.00%
发文量
48
审稿时长
10 weeks
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