3岁以下儿童尾的非手术治疗策略:一项追溯观察性研究
Huan Li1, Jianfeng Luo1, Haibin Wang1
1Department of General Surgery, Wuhan Children's Hospital (Wuhan Maternal and Child Healthcare Hospital), Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China.
Frontiers in pediatrics
|November 13, 2023
概括
3岁以下儿童的尾的非手术治疗非常成功,结果不受尾炎的存在的影响. 这种方法提供了一个有效的策略,用于儿科尾的管理.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 3岁以下儿童尾的研究不足.
- 尾炎可能会影响儿科尾的治疗结果.
研究的目的:
- 为了确定幼儿尾的非手术治疗的成功率.
- 评估尾炎对该年龄组非手术治疗结果的影响.
主要方法:
- 对3岁以下患有尾的儿科患者的回顾性评估.
- 在成像 (超声波和CT) 的基础上将其分为尾炎和非尾炎组.
- 两组非手术治疗成功率的比较.
主要成果:
- 在3岁以下的儿童中,尾的整体非手术治疗成功率为93.6%.
- 尾炎组的成功率为90.2%,非尾炎组的成功率为97.7%.
- 两组之间没有观察到治疗成功的统计学上显著差异 (P=0.292),除了右下腹部疼痛之外,临床和实验室发现相似.
结论:
- 尾的非手术治疗在3岁以下的儿科患者中表现出高的成功率.
- 这种保守的方法是有效的,特别是在没有完全的肠道阻塞或扩散周周炎的情况下.
- 尾炎的存在似乎不会显著改变这个人群的非手术治疗结果.
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