[肠系膜缺血的流行病学与诊断]
[Epidemiology and diagnostics of mesenteric ischemia].
作者信息
Oehler Helga, Eichler Katrin, Derwich Wojciech, Schnitzbauer Andreas A, Schreckenbach Teresa
机构信息
Universitätsklinikum, Klinik für Allgemein‑, Viszeral‑, Transplantations-, und Thoraxchirurgie, Goethe-Universität Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
Universitätsklinikum, Institut für Diagnostische und Interventionelle Radiologie, Goethe-Universität Frankfurt, Frankfurt am Main, Deutschland.
出版信息
Chirurgie (Heidelb). 2024 May;95(5):347-352. doi: 10.1007/s00104-023-02021-6. Epub 2023 Dec 29.
BACKGROUND
Mesenteric ischemia is a life-threatening condition with a complex etiology and diagnostics.
OBJECTIVE
Etiology, incidence, symptoms, and diagnostics of acute and chronic mesenteric ischemia.
MATERIAL AND METHODS
Literature search via PubMed with a focus on studies on the epidemiology and diagnostics of mesenteric ischemia and analysis of existing international guidelines.
RESULTS
The incidence of acute mesenteric ischemia is given as 0.63-12.9 per 100,000 people per year. There are no sufficiently reliable figures for chronic mesenteric ischemia, but an incidence of up to 3 per 100,000 inhabitants per year is generally assumed. The three-phase computed tomography has the highest diagnostic specificity and sensitivity.
CONCLUSION
In the presence of risk factors acute and chronic mesenteric ischemia should be considered as differential diagnoses in the presence of abdominal pain using three-phase computed tomography.
背景
肠系膜缺血是一种病因复杂且诊断困难的危及生命的疾病。
目的
急性和慢性肠系膜缺血的病因、发病率、症状及诊断方法。
材料与方法
通过PubMed进行文献检索，重点关注肠系膜缺血的流行病学和诊断研究，并分析现有国际指南。
结果
急性肠系膜缺血的发病率为每年每10万人中0.63 - 12.9例。慢性肠系膜缺血尚无足够可靠的数据，但一般认为每年每10万居民中的发病率高达3例。三相计算机断层扫描具有最高的诊断特异性和敏感性。
结论
在存在危险因素的情况下，对于腹痛患者，应考虑急性和慢性肠系膜缺血作为鉴别诊断，并采用三相计算机断层扫描。
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