儿童呼吸道马拉西亚的开放式和胸腔透视性动脉检查:一个单一中心15年的经验
Liam Sutton1, Elizabeth Maughan2, Kiersten Pianosi2
1Department of Otolaryngology, Great Ormond Street Hospital, London, UK; Tracheal Team, Great Ormond Street Hospital, London, UK.
Journal of pediatric surgery
|November 10, 2023
概括
开放式和胸腔镜式的气管切除术有效地治疗儿科气道疾病. 支气管干扰是不良结果的危险因素,尽管最佳治疗仍在争论中.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 气道马拉西亚在儿科护理中是一个重大挑战.
- 动脉切除术是一种用于治疗气道不良的手术.
研究的目的:
- 分析儿科呼吸道疾病的开放式和胸腔镜性大气透术的特征和结果.
- 为了识别与儿童心动脉透症结局相关的风险因素.
主要方法:
- 追溯连续病例系列的儿科患者接受aortopexy.
- 从2006年12月到2021年1月在四级推中心收集的数据.
- 结果指标包括输出管时间,通风需要,气管切除术和死亡率.
主要成果:
- 有169名患者接受了动脉透 (147名开放,22名胸腔镜).
- 支气管干扰在胸腔镜组中较少发生 (13.6%vs40.82%).
- 死亡仅发生在开放性大动脉透组 (共21人) 中.
结论:
- 开放式和胸腔镜式的气管切除术都对儿科呼吸道疾病有效.
- 气管中支气管的参与与较差的结果有关.
- 需要进一步的研究来确定这些患者的最佳治疗策略.
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