系统评估重复手术的风险在儿科群体与外向性和内向性:嵌套病例对照研究研究
Ju-Yeun Lee1, Seong Jae Kim2,3,4, Hyuna Kim5
1Department of Ophthalmology, Myongji Hospital, Hanyang University College of Medicine, Goyang, South Korea.
Scientific reports
|August 1, 2023
概括
儿科斜视手术重复手术的风险在较小的儿童和接受单边手术的儿童中更高. 在三岁以下的早期干预,特别是单边手术,显著增加了外热和内热两种疾病的再手术率.
科学领域:
- 眼科医生 眼科 眼科
- 儿科手术 儿科手术
- 公共卫生 公共卫生
背景情况:
- 眼手术的目的是纠正眼睛的对齐,但在儿科病例中,重新手术很常见.
- 识别儿科斜视重复手术的危险因素对于改善手术结果至关重要.
研究的目的:
- 评估儿童初始眼手术后重复手术的风险.
- 为了确定特定的患者群体,他们面临着更高风险的斜视再手术.
主要方法:
- 一项基于全国人口的研究,利用韩国国家健康索赔数据库 (2008-2020年).
- 包括24,816名儿科患者 (≤9岁),他们接受了外向性或内向性初始手术.
- 条件后勤回归分析以确定重新操作风险因素的赔率比率 (OR).
主要成果:
- 累积的重复手术发生率为外向型的843/10,000,对于中向型的1559/10,000.
- 年龄较小 (3岁以下) 显著增加了重复手术的风险 (OR 4.26对于外极性,OR 6.57对于中极性).
- 与双边手术相比,单边手术增加了重复手术的风险 (外热性OR6.49,内热性OR7.20).
结论:
- 较年轻的儿童,特别是三岁以下的儿童,面临着明显更高的眼再手术的风险.
- 单侧偏手术是外热和内热两种情况下重复手术的重要风险因素.
- 临床实践应优先考虑对非常年幼的儿童和那些接受偏单方面初步手术干预的儿童的仔细考虑.
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