在全国儿科队列中的卵巢手术中意外尾切除术的结果
Carlos Theodore Huerta1, Walter A Ramsey1, Royi Lynn2
1Division of Pediatric Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami, Florida.
The Journal of surgical research
|August 3, 2023
概括
儿科卵巢手术期间的意外尾切除与更长的住院时间和更多的胃肠道并发症有关. 然而,腹腔镜间歇性尾切除没有显示增加风险,这表明潜在的成本效益.
科学领域:
- 儿科手术 儿科手术
- 妇科瘤学 妇科瘤学
- 胃肠道手术 胃肠道手术
背景情况:
- 偶发尾切除术 (IA) 在儿科卵巢手术中的作用尚不清楚.
- 这项研究评估了IA结合年轻女性卵巢手术的结果.
研究的目的:
- 为了比较经过卵巢手术的儿科患者与无附带尾切除手术之间的结果.
- 评估IA对逗留时间,术后并发症和成本效益的影响.
主要方法:
- 使用全国再录取数据库 (2016-2018) 进行了倾向性得分匹配分析 (PSMA).
- 包括20岁或更年轻的女性进行卵巢手术 (卵巢切除,扭曲,排水),不包括患有尾炎的女性.
- 用46个共变量来匹配接受有或没有IA的卵巢手术的患者.
主要成果:
- 仅仅卵巢手术就有更多的扭曲发作 (17%与IA的10%相比).
- 偶然的尾切除术与更长的逗留时间 (3 vs. 2 天) 和更高的术后胃肠道并发症有关.
- 与单独的卵巢手术相比,腹腔镜IA没有显示停留时间,并发症或再入院的增加.
结论:
- 在儿科卵巢手术中,偶然的尾切除与逗留时间的延长和胃肠道并发症有关.
- laparoscopic 随机尾切除术似乎是安全的,并且可能具有成本效益,因此需要进一步调查.
- 这些发现表明,在儿科的卵巢手术期间,应小心选择患者进行IA.
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