Hsee Li, Civil Ian
Trauma Services, Auckland City Hospital, Auckland, New Zealand.
N Z Med J. 2008 Dec 12;121(1287):26-31.
The incidence of penetrating abdominal injuries in Australia and New Zealand is low. Traditionally, low-velocity, non-gunshot-wound (GSW) penetrating abdominal injuries have been surgically explored. With advances in imaging modalities and laparoscopic techniques, more options now exist to determine the presence or absence of serious intra-abdominal injury. Surgical intervention can often be avoided. We undertook this study to determine whether these options had been reflected in surgical practice and management changed in this population of patients.
Retrospective review of trauma patients over the 10-year duration 1996-2005 admitted to Auckland City Hospital Trauma Services. The population of patients were subdivided into two cohorts, an earlier group (1996-2000) and a later group (2001-2005) for comparison purposes.
No statistical significance existed between the two groups in their demographics and treatment approaches.
Despite the availability of laparoscopic procedures and advanced imaging techniques, surgical practice in a major metropolitan New Zealand hospital had not changed. This may reflect both the success of the earlier treatment guidelines and failure of educational strategies to effect change of practice.
澳大利亚和新西兰穿透性腹部损伤的发生率较低。传统上，低速、非枪伤性穿透性腹部损伤一直通过手术探查。随着成像技术和腹腔镜技术的进步，现在有了更多选择来确定是否存在严重的腹腔内损伤。通常可以避免手术干预。我们进行这项研究以确定这些选择是否已反映在手术实践中，以及该患者群体的管理是否发生了变化。
对1996年至2005年这10年间入住奥克兰市医院创伤服务部的创伤患者进行回顾性研究。为了进行比较，将患者群体分为两组，早期组（1996 - 2000年）和后期组（2001 - 2005年）。
两组在人口统计学和治疗方法上没有统计学意义。
尽管有腹腔镜手术和先进的成像技术，但新西兰一家主要大都市医院的手术实践并未改变。这可能既反映了早期治疗指南的成功，也反映了教育策略未能改变实践。
