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在20多年来,从初级后面的斜性直肠形手术对直肠形的研究中得到的结论
1Department of Pediatric Surgery, All India Institute of Medical Sciences, Room No. 4001-2, New Delhi, India. drshilpas@gmail.com.
Pediatric surgery international
|October 1, 2023
概括
主要后侧斜性直肠整形术 (P-PSARP) 是对直肠形的可行的手术方法,在适当的患者选择和外科护理下,可以产生良好的功能结果. 达到熟练程度需要学习曲线,但结果显示,自愿排便的比例很高.
科学领域:
- 儿科手术 儿科手术
- 直肠异常变形 直肠异常变形
- 外科手术的结果
背景情况:
- 阳道形 (ARM) 是一种先天性疾病,需要进行手术纠正.
- 后侧松性瘤整形术 (PSARP) 是ARM的一种常见的手术技术.
- 主要的PSARP (P-PSARP) 旨在在单个阶段纠正ARM.
研究的目的:
- 为了评估一次性后部形形整形手术 (P-PSARP) 的术后期和早期术后结果.
- 评估P-PSARP后的功能结果,包括肠功能和并发症.
主要方法:
- 在2004年至2019年期间接受P-PSARP治疗的患者的回顾性分析.
- 对术后护理,管理和并发症的评估.
- 使用克里肯贝克标准评估自愿排便,脏和便秘.
主要成果:
- 156名患者 (134名女孩) 接受了P-PSARP,平均年龄为5个月.
- 在男孩和女孩身上观察到各种类型的片和门异常.
- 并发症包括伤口感染 (6%),脱皮 (4%) 和门狭窄 (4%).
- 在随访时,84.2%的人实现了自愿排便,其中29.7%的人经历了便秘和6.5%的脏.
结论:
- P-PSARP是一种可行的手术选择,用于直肠形.
- 适当的病例选择和精心的术后护理对于成功的结果至关重要.
- 达到P-PSARP的熟练程度涉及一个学习曲线,但导致令人满意的功能结果.
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