...
首页> 外文期刊>Clinics and research in hepatology and gastroenterology >Prospective survey of secondary bleeding following anorectal surgery in a consecutive series of 1,269 patients.
【24h】

Prospective survey of secondary bleeding following anorectal surgery in a consecutive series of 1,269 patients.

机译:连续1 269例肛门直肠手术后继发性出血的前瞻性调查。

获取原文
获取原文并翻译 | 示例
           

摘要

INTRODUCTION: As little data is available about secondary bleeding after proctological surgery, we conducted a specific survey. PATIENTS AND METHODS: Patients operated between November 2008 and April 2009 were prospectively included. Patients were followed until last visit (day 21-28). Severity of bleeding was low (at home stay), moderate (hospitalisation for observation), or severe (transfusion, and/or homeostasis in operating room). RESULTS: Included were 1269 patients: haemorrhoidectomy/pexy 527 (41%), fistula treatment 273 (21%), fissurectomy 197 (15%), perianal and pilonidal abscesses 124 (10%), others 148 (12%). Before surgery 78 patients were under long-term treatment with antiplatelet or anticoagulant therapy. Seventy-eight patients (6%) demonstrated 85 bleeding events. Severity rate was: low 22%, moderate 51%, and severe 27%. Ninety-five percent of events occurred before day 15. Univariate study showed increased risk after haemorrhoidopexy (P<10-3) and anticoagulant treatment (P = 0.002), decreased risk after fissurectomy and fistulotomy (P<10-3), and no relation with age, sex or operator. After multivariate study only relationship with anticoagulant treatment remained significant. CONCLUSION: Secondary bleeding occurred in 6% of patients after proctological surgery, requiring a readmission and/or an active treatment in about 75%. Treatment with anticoagulant exposed to increased bleeding frequency.
机译:简介:由于直肠外科手术后有关继发性出血的数据很少,因此我们进行了一项具体调查。患者与方法:前瞻性纳入2008年11月至2009年4月之间手术的患者。随访患者直到最后一次就诊(第21-28天)。出血严重程度低(在家中),中度(住院观察)或严重(输血和/或手术室内动态平衡)。结果:包括1269例患者:痔切除术/ pexy 527(41%),瘘管治疗273(21%),肋膜切除术197(15%),肛周和毛发脓肿124(10%),其他148(12%)。手术前有78例患者长期接受抗血小板或抗凝治疗。 78名患者(6%)表现出85次出血事件。严重程度为:低22%,中度51%和严重27%。 95%的事件发生在第15天之前。单因素研究显示,痔疮术后(P <10-3)和抗凝治疗(P = 0.002)发生的风险增加,Fissurectomy和Fistulotomy切除后的风险降低(P <10-3),并且没有与年龄,性别或操作员的关系。经过多变量研究后,仅与抗凝治疗的关系仍然很重要。结论:直肠癌手术后6%的患者发生继发性出血,大约75%的患者需要再次入院和/或积极治疗。用抗凝剂治疗会增加出血频率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号