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婴儿近腹的自然过程:现实世界的研究
Wanbin Yin1, Yansen Li1, Jingfeng Zhang1
1Department of Anorectal Surgery, Affiliated Hospital of Jining Medical University, 129 Hehua Road, Jining, 272067, China.
婴儿的周围 (PA) 经常通过保守的治疗而消失. 大多数婴儿在没有手术的情况下得到解决,尽管很少有可能需要手术干预.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 婴儿近腹 (PA) 的自然病史尚不清楚.
- 保守的管理通常被认为是由于家长对手术的偏好.
研究的目的:
- 为了研究长期的结果的婴儿与周围腹保守治疗.
- 确定婴儿PA非手术治疗的疗效和并发症率.
主要方法:
- 对153名患有PA的婴儿进行了回顾性队列研究,这些婴儿在两个多月内接受了保守治疗.
- 数据从2014-2020年在一个单一的高等教育中心收集.
- 随访时间中位数为5.3年.
主要成果:
- 最初,77.8%的婴儿通过保守治疗得到治愈.
- 总体而言,90.8%的患者在没有手术的情况下得到治疗;7.2%的患者需要手术.
- 在15.0%的患者中,形成了,在4.6%的患者中出现了复发,在6.5%的患者中出现了新的.
结论:
- 婴儿的周围可能是一种自我限制的疾病.
- 保守的管理应该是大多数婴儿PAS的主要治疗方法.
- 在某些情况下,延长的保守治疗可能会改善结果,但大约10%需要手术.
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