结肠拉通的结肠外的结果因结肠长度不同:一个多机构研究
Shruthi Srinivas1, Maria E Knaus1, Jeffrey R Avansino2
1Department of Surgery, Nationwide Children's Hospital, The Ohio State University, Columbus, OH, USA.
Journal of pediatric surgery
|November 15, 2023
概括
大多数患有克洛亚克外缩症 (CE) 的儿童保留了他们的结肠静脉. 结肠拉透 (PT) 提供了一个替代方案,但通过清洁来定义的成功是有限的,并且与CE患者的结肠长度更长有关.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 泌尿生殖器官外科手术
背景情况:
- 克洛亚克外 (CE) 是一种罕见的直肠形.
- 传统的治疗包括永久性结肠直肠切除.
- 结肠拉透 (PT) 旨在改善禁欲,避免终身口腔.
研究的目的:
- 为了评估结肠拉透 (PT) 的结果,在一个大型的,多中心队列的患者与外 (CE).
- 确定影响PT在管理CE方面的成功因素.
主要方法:
- 在11个儿科医院进行了回顾性研究.
- 收集关于人口统计,结果和解剖学因素 (例如结肠长度) 的数据.
- 使用威尔科克森等级和费舍尔精确测试的统计分析.
主要成果:
- 在98名患者中,71.4%从未接受过PT.
- 在那些有PT的人中,69.6%不是干净的.
- 只有7.1%的人通过PT实现了清洁;更长的结肠长度与成功结果相关 (p=0.005).
结论:
- 大多数CE患者保留了他们的口腔.
- 结肠PT在CE实现清洁的成功率很低.
- 结肠长度是CE患者PT成功的一个重要因素.
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