超重是否是儿童尾丸扭曲的危险因素? : 一个配对的病例控制研究
Maria Coronas-Soucheiron1, Oriol Martín-Solé, Clara Massaguer
1From the Pediatric Surgery Department, Hospital Sant Joan de Déu, Universitat de Barcelona, Barcelona, Spain.
Pediatric emergency care
|June 5, 2023
概括
儿童超重是尾丸扭曲的重要危险因素,增加了手术干预的可能性. 随着儿童肥胖症的增加,预计TAT发病率可能会增加.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 公共卫生 公共卫生
背景情况:
- 儿童超重和肥胖正在增加全球健康问题.
- 尾丸扭曲 (TAT) 是儿童急性阴囊的常见原因,通常需要手术.
研究的目的:
- 调查儿童超重与手术治疗尾丸扭曲 (TAT) 风险之间的关联.
主要方法:
- 进行了一项对照病例对照研究,将手术治疗TAT的男孩与对照组进行比较.
- 体重百分位数 (WP) 用条件后勤回归计算和分析了TAT风险的关联.
主要成果:
- 与对照组相比,手术治疗TAT的患者的中位体重百分位数显著更高 (79比49,P<0.0001).
- 体重百分比的每一个点的增加与TAT风险增加2.2%相关 (OR,1.022).
- 体重百分比高于75与TAT风险增加3至6倍相比较低的体重百分比.
结论:
- 儿童超重状态是尾丸扭曲 (TAT) 需要手术的重要危险因素.
- 儿童肥胖率的上升可能会导致未来TAT发病率的增加.
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