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首页> 外文期刊>International journal of colorectal disease. >The prevalence of venous thromboembolism in rectal surgery: a systematic review and meta-analysis
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The prevalence of venous thromboembolism in rectal surgery: a systematic review and meta-analysis

机译：直肠手术中静脉血栓栓塞的患病率：系统评价与荟萃分析

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PurposeVenous thromboembolism (VTE) following rectal surgery is a significant and preventable cause of morbidity and mortality, yet the true prevalence is not well established. This systematic review and meta-analysis assessed the available literature and determined its prevalence following rectal surgery.MethodsA systematic review assessed the prevalence of VTE following rectal surgery. In addition, we evaluated whether subgroups (open vs. minimally invasive or benign vs. malignant resections) impacted on its prevalence or rate of deep venous thrombosis (DVT) or pulmonary embolism (PE).ResultThirty-eight studies met the predefined inclusion criteria. The aggregate prevalence of VTE following rectal surgery was 1.25% (95% CI 0.86-1.63), with DVT and PE occurring in 0.68% (95% CI 0.48-0.89) and 0.57% (95% CI 0.47-0.68) of patients. VTE following cancer and benign resection was 1.59% (95% CI 0.60-1.23 and 1.5% (95% CI 0.89-2.12) respectively. The prevalence of VTE in patients having minimally invasive resection was lower than those having open surgery [0.58% (16/2770) vs. 2.22% (250/11278); RR 0.54, 95% CI 0.33-0.86].ConclusionThis review observed that there is sparse evidence on prevalence of VTE following rectal surgery. It provides aggregated data and analysis of available literature, showing overall prevalence is low, especially in those having minimally invasive procedures.
机译：直肠手术后的有目的的血栓栓塞（VTE）是一种显着和可预防的发病率和死亡率，但真正的普遍性并不明确。该系统审查和荟萃分析评估了可用的文献，并确定了直肠外科后的患病率。方法系统评估评估了直肠手术后VTE的患病率。此外，我们还评估了亚组（开放的与微创或良性与恶性切除术）影响其对其深静脉血栓形成（DVT）或肺栓塞（PE）的患病率或率（PE）。方法达到预定的纳入标准。直肠手术后VTE的总患病率为1.25％（95％CI 0.86-1.63），DVT和PE在0.68％（95％CI 0.48-0.89）中，患者的0.57％（95％CI 0.47-0.68）。癌症后癌症和良性切除术为1.59％（95％CI 0.60-1.23和1.5％（95％CI 0.89-2.12）。患者的VTE患病率低于开放手术的患者[0.58％（ 16/2770）与2.22％（250/11278）; RR 0.54,95％CI 0.33-0.86] .Conclusionththis综述观察到直肠手术后VTE患病率存在​​稀疏证据。它提供了汇总数据和可用文献的分析，表现出总体流行率低，特别是在具有微创手术的人中。

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