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年龄作为儿童简单急性尾炎非手术治疗的排除标准
Gal Becker1, Audelia Eshel Fuhrer1, Keren Kremer1
1Department of Pediatric Surgery, Dana Dwek Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
概括
简单急性尾炎的非手术治疗失败的风险随着儿童的年龄增长而增加. 年龄应该是治疗决策的关键因素,特别是对于青少年.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床研究 临床研究
背景情况:
- 非手术治疗 (NOM) 是儿童简单急性尾炎 (SAA) 的一种选择.
- 以前的研究排除了年龄较小的儿童,年龄对NOM失败的影响尚不清楚.
- 青少年可能有更高的NOM失败的风险.
研究的目的:
- 研究患者年龄对简单急性尾炎非手术治疗失败率的影响.
主要方法:
- 用NOM治疗的151名SAA儿童的回顾性分析 (2019年1月 - 2021年6月).
- 被定义为随后的尾切除术的NOM失败.
- 年龄连续分析,并分为子组.
主要成果:
- 总体而言,44%的孩子没有NOM.
- 每年NOM失败的几率增加12% (p=0.027).
- 14岁以上的儿童失败的几率是失败的2.46倍 (p=0.03),即使经过调整.
结论:
- 随着年龄的增加,SAA儿童的NOM衰竭风险更高.
- 在SAA的管理决策中,应考虑年龄,特别是对于青少年.
- 诺姆在6岁以下的儿童中是有效的,不应该被排除在外.
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