手术性死性肠球炎 - 我们能预测胃口管安置的需要吗?
Alyssa E Vaughn1, Bailey D Lyttle1, Wesley Tran1
1Division of Pediatric Surgery, Department of Surgery, University of Colorado School of Medicine and Children's Hospital Colorado, Aurora, Colorado.
The Journal of surgical research
|November 28, 2023
概括
胃口管 (GT) 的安置在患有死角性肠球炎 (NEC) 的婴儿中很常见,需要进行胃口管逆转. 同时进行GT安置与骨髓逆转是安全的,减少了住院时间,有利于手术NEC患者.
科学领域:
- 新生儿手术 新生儿手术
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 结核性肠球炎 (NEC) 是早产婴儿的关键病症,通常需要进行骨髓造形手术.
- 手术治疗NEC具有很高的风险,包括支气管肺功能障碍和食困难.
研究的目的:
- 为了评估胃口管 (GT) 放置在手术NEC病例中胃口管逆转后的发生率.
- 为了确定是否同步的骨干逆转和GT安置有利于特定的患者子组.
主要方法:
- 一项回顾性单中心研究分析了从2007年到2021年手术NEC和口腔造形的婴儿.
- 收集了关于GT安置时间 (在转骨术之前,期间或之后) 和患者结局的数据.
主要成果:
- 在80名NEC患者中,56.3%接受了GT;44.4%的患者同时接受了 Ostomy 逆转.
- 同时的GT安置缩短了从骨髓逆转到出院的时间 (56天与77天相比).
- 在需要GT安置的组之间没有观察到妊娠年龄或出生体重的显著差异;GT组的住院时间更长.
结论:
- 大约一半的外科NEC患者需要放置胃口管.
- 同时逆转口腔和GT安置是一种安全而有效的方法,可能减少需要单独手术的需要.
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