支气管发作囊:在三级儿科中心20年的经验中吸取的经验教训
Ramiro Jorge Ortiz1, Aixa Reusmann1, Mariano Marcelo Boglione1
1Pediatric Hospital Dr. Juan Garrahan, Pichincha 1890, C1245 CABA, Buenos Aires, Argentina.
Journal of pediatric surgery
|July 11, 2023
概括
微创手术,包括胸腔镜部分切除,是对儿科支气管发炎囊的安全有效治疗方法. 这种方法在专业中心提供了较低的并发症和复发率.
科学领域:
- 儿科手术 儿科手术
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
- 胸部外科手术 胸部外科手术
背景情况:
- 支气管发作性囊是源自原始前肠的先天性形.
- 这些良性囊需要准确的诊断和有效的管理策略.
研究的目的:
- 为了分析20年的诊断和治疗儿科支气管发炎囊的经验.
- 评估微创手术技术的安全性和有效性.
主要方法:
- 45名被诊断患有支气管发作囊的儿科患者的回顾性审查 (2000-2020年).
- 分析囊的位置,症状,手术技术 (部分切除,叶片切除),并发症和复发.
- 专注于胸腔镜的方法,以治疗下膜和膜囊.
主要成果:
- 在37名患者中进行了带有粘膜烧结/消灭的部分切除;在8名患者中进行了带切除.
- 鼻下囊 (51.1%) 和腹腔内囊 (31.1%) 主要通过胸腔镜 (90%) 进行治疗.
- 15%的患者出现并发症;在4.4%的患者中,复发需要重新手术.
结论:
- 在儿科中心,最小入侵的方法是安全的,用于管理非感染的副鼻腔和下鼻腔支气管发作囊.
- 胸腔镜部分切除是一种可行且有效的策略,并发症和重新手术率低.
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