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成人和青少年患者的恶性转换

Brianna L Spencer¹, Dimitra M Lotakis², Sydni Imel²

¹Section of Pediatric Surgery, Department of Surgery, University of Michigan Medical School, C.S. Mott Children's Hospital, 1540 E Hospital Dr, Ann Arbor, 48109, MI, US. blspence@med.umich.edu.

Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

|May 31, 2023

概括

成人和青少年的症状性恶性转换往往呈现异常. 在88%的病例中,手术修复导致症状消失,CT扫描证明诊断和腹腔镜是一种可行的方法.

科学领域:

儿科手术儿科手术
胃肠道手术胃肠道手术
腹部成像腹部成像腹部成像

背景情况:

肠道逆转是一种先天性异常,通常在婴儿期被诊断出来.
虽然在儿童中很常见,但在成年人中症状转移不良的理解较少.
在老年人群中,呈现可能是非典型的,这会给诊断带来挑战.

研究的目的:

研究成年和青少年患者的症状性肠恶转变的临床表现,诊断方法和手术修复的结果.
为了比较成人和青少年队列之间的特征和治疗结果.

主要方法:

对20年的单一机构数据的回顾性分析,这些数据来自成人 (>18岁) 和青少年 (12-18岁) 患者的症状转移不良.
评估人口统计,手术方法,住院时间,食时间和外科医生的专业.
用描述性统计数据分析和比较这两组患者.

主要成果:

总共包括25名患者 (17名成年人,8名青少年).
主要表现是82%的成年人和100%的青少年的急性腹痛;非胆汁吐是罕见的.
计算机断层扫描 (CT) 扫描在82%的成年人和71%的青少年中是诊断的.
在88%的患者中,在术后观察到整体症状改善.

结论:

成人和青少年的症状性恶转会可能伴有非典型症状,主要是腹部疼痛.
在这个人群中,手术修复产生了显著的症状缓解 (88%).
CT成像是一种可靠的诊断工具,应该考虑腹腔镜手术进行修复.

关键词:

成年人成年人成年人成年人成年人 laparoscopic 拉巴洛斯科比拉巴洛斯科比拉巴洛斯科比拉巴洛斯科比马尔旋转是错误的旋转.

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