早产婴儿的阴茎:在出院前还是出院后进行手术?
Candy Sc Choo1, Caroline Cp Ong1, Ting Ting Yong2
1Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore.
Journal of pediatric surgery
|November 15, 2023
概括
推迟早产婴儿与 inguinal (IH) 的切术是安全的,并可能导致自发解决. 建议在医院出院后对未经手术的内脏炎症的婴儿进行密切监测.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 外科手术的结果
背景情况:
- 阴道 (IH) 在早产婴儿中很常见.
- 进行手术修复 (带切除) 的最佳时间受到争议:在医院的早期或在出院后的延迟.
研究的目的:
- 为了比较早期与早产婴儿与IH的延迟切的临床结果.
- 评估推迟外科修复的安全性和有效性.
主要方法:
- 对219名早产婴儿患有IH (2015-2020) 的回顾性队列研究.
- 进行早期切除术的婴儿与未经手术的IH出院的婴儿 (延迟组) 的比较.
- 使用t测试,曼-惠特尼U测试和费舍尔精确测试进行统计分析.
主要成果:
- 189名婴儿进行了早期切;30名婴儿属于延迟切组.
- 在延迟治疗组中,50%的患者出现了自发性肠道炎症解脱;其余的患者接受了计划的延迟手术.
- 在重大并发症方面没有显著差异;延迟组手术并发症较少 (0%vs9.5%).
- 早期组有1%的监禁性内脏病需要紧急手术;延迟组没有.
结论:
- 推迟早产婴儿患有IH的切术是一种安全的选择,需要密切监测.
- 在很大比例的延迟病例中,IH的自发解决是可能的.
- 延迟修复可能与手术并发症的减少有关.
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