手术辅助剂的使用不能减少神经瘤骨囊在儿童患者手术干预的复发
Brandon S Gettleman1, Abigail N Padilla2, Shourya Kumar3
1University of South Carolina School of Medicine, Columbia, SC.
Journal of pediatric orthopedics
|October 10, 2023
概括
手术辅助剂不会影响儿科动脉瘤骨囊 (ABC) 的复发率. 年龄小于6岁的儿童患ABC复发的风险更高.
科学领域:
- 整形外科手术 整形外科手术
- 儿科瘤学 儿科瘤学
- 骨瘤 骨瘤是指骨上的瘤.
背景情况:
- 动脉瘤骨囊 (ABCs) 是一种良性,活跃的骨瘤,在儿童中很常见.
- 内切是一种标准的治疗方法,通常使用外科辅助剂.
- 复发率和影响因素需要进一步调查.
研究的目的:
- 为了确定外科辅助剂是否会影响儿科ABC的复发率.
- 根据患者的年龄,性别和身体接触来分析复发情况.
主要方法:
- 对129名组织学证实ABC的儿科患者 (2004-2020年) 的回顾性审查.
- 收集关于人口统计,病变位置,治疗和复发情况的数据.
- 统计分析比较了使用辅助剂和不使用辅助剂的复发率,以及按年龄,性别和身体接触的比例.
主要成果:
- 在接受外科辅助剂和未接受外科辅助剂的患者之间,复发率没有显著差异 (25.3%与23.7%).
- 身体接触与复发没有显著关联 (P = 0.146).
- 年龄小于6岁的患者的复发率 (66.7%) 与老年儿童 (21.7%,P = 0.007) 相比显著更高.
结论:
- 外科辅助剂似乎不会影响治疗儿科ABC的复发风险.
- 年龄较小 (≤6岁) 是ABC复发的重要风险因素.
- 身体接触和性行为没有被发现是复发的重要预测因素.
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