穿孔尾炎儿童的图像引导液排水 - 它可以等待吗?
Maria F Dien Esquivel1,2, Reza Belaghi3, Richard Webster3
1Department of Medical Imaging, CHEO, University of Ottawa, Ottawa, ON, Canada. maridien@gmail.com.
Pediatric radiology
|August 8, 2023
概括
对于儿童带的穿孔性尾炎,延迟干预 (三角形时间) 并没有显著影响住院或需要进一步手术等结果. 腹的大小和数量是更有影响力的因素.
科学领域:
- 儿科手术 儿科手术
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 图像引导排水是穿孔尾炎与腹内瘤的标准.
- 在儿科病例中进行干预的最佳时间尚不清楚,缺乏足够的数据.
研究的目的:
- 评估从诊断到排水的时间 (三角形时间) 和复杂尾炎儿童的临床结果之间的关联.
- 为了确定延迟干预是否会影响停留时间,导管停留时间或需要进一步的程序.
主要方法:
- 对80名儿科患者进行回顾性研究,这些患者因穿孔尾炎而接受图像引导液排水.
- 使用马和逻辑回归模型分析三角形时间,瘤体积和收集数量.
- 评估结果包括停留时间,导管停留时间,对组织等离子素激活剂 (t-PA) 的需求以及额外的干预措施.
主要成果:
- 平均三角形时间为1.5天;在三角形时间和停留时间,导管停留时间,需要t-PA或额外干预措施之间没有发现显著的关联 (P>0.05).
- 然而,瘤体积和采集次数与更长的停留时间,更长的导管停留时间以及增加对额外干预的需求 (P <0.05) 有显著的关联.
结论:
- 诊断尾炎相关腹和执行图像引导排水之间的时间间隔似乎不会显著影响儿科患者的关键临床结果.
- 瘤体积和多重性等因素是临床结果的更重要的预测因素,而不是干预的延迟.
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