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在儿科有毒食道狭窄症中肺扩张的结果:来自发展中国家的描述性和分析性研究
Ben Youssef Sabrine1,2, Marwa Messaoud3,4, Belhassen Samia3,4
1Pediatric Surgery Department, Fattouma Bourguiba University Hospital, Monastir, Tunisia. Sabrine.benyoussef@yahoo.com.
Surgical endoscopy
|October 26, 2023
概括
气动气球扩张对于治疗儿科腐蚀性食道收缩是有效的,成功率为80.4%. 然而,狭窄的严重程度和多次扩张预测失败,指导手术决策.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 儿童摄入腐蚀性物质会导致长期的健康问题,主要是食道狭窄.
- 食道狭窄的治疗包括气动扩张或手术置换.
研究的目的:
- 评估在发展中国家的儿科腐蚀性食道狭窄的气动扩张的结果.
主要方法:
- 一项从2005年至2020年间对患有有毒食道狭窄症的儿科患者进行的横截面研究.
- 所有患者都进行了肺气球扩张.
- 使用后勤回归和ROC曲线分析来预测扩张的成功/失败.
主要成果:
- 气动气球扩张的成功率为80.4%.
- 缩严重程度和扩张次数是扩张失败的独立风险因素.
- 对ROC曲线的分析表明,预测性能中等 (AUC=71.7%).
结论:
- 气动气球扩张对于儿科有毒食道狭窄是有效的.
- 外科医生应考虑狭窄症的严重程度和扩张史,以决定及时的手术干预.
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