对于儿科胆结石胰腺炎的干预措施的国家趋势
Audra J Reiter1,2, Lynn Huang2, Yao Tian2
1Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois, USA.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|September 8, 2023
概括
儿科胆结石胰腺炎的腹腔镜胆结囊切除术 (LC) 率在过去二十年中保持稳定. 然而,LC和ERCP等干预措施发生得更早,导致儿童住院时间缩短.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在初始住院期间,腹腔镜胆囊切除术 (LC) 是成人胆结石胰腺炎的标准.
- 治疗儿科胆结石胰腺炎的趋势,特别是使用LC和内镜逆行胆血管瘤学 (ERCP),需要评估.
研究的目的:
- 评估用于诊断为胆结石胰腺炎的儿科患者的LC和ERCP的使用趋势.
- 分析这些干预的时间变化及其对住院时间 (LOS) 的影响.
主要方法:
- 一项使用儿童住院患者数据库 (2000-2019) 的回顾性队列研究.
- 纳入标准:年龄在18岁或以下,初级诊断为胆结石胰腺炎的患者.
- 统计分析包括曼-肯达尔趋势测试来评估时间趋势.
主要成果:
- 在儿童胆结石胰腺炎的医院住院指数期间,LC的总比率保持一致 (55.4%至63.8%).
- 包括LC和ERCP在内的干预措施发生在住院的早期,LC的平均住院日数显著减少 (4.6至3.4).
- 接受LC的患者 (6.8至5.1天) 和没有接受手术的患者 (5.7至4.0天) 的平均停留时间 (LOS) 减少.
结论:
- 在儿童胆结石胰腺炎的指数住院期间进行的LC的比例在过去20年中保持稳定.
- 对于儿科胆结石胰腺炎的干预措施正在趋向于在住院期间更早地给予治疗.
- 这些较早的干预措施与受影响儿童住院总体时间的减少有关.
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