儿童的淋巴发育不良手术后后果的危险因素
Julio César Moreno-Alfonso1, Paloma Triana2, Miriam Miguel Ferrero2
1Doctoral School, Universidad Pública de Navarra (UPNA), Campus de Arrosadia, Pamplona, Navarra, Spain; Department of Pediatric Surgery, Hospital Universitario de Navarra, Pamplona, Navarra, Spain.
Journal of vascular surgery. Venous and lymphatic disorders
|December 9, 2023
概括
淋巴发育不良 (LMs) 的手术对12个月以下的婴儿,特别是患有宫面或微囊性LMs的婴儿,具有更高的并发症风险. 建议避免积极的手术方法,以尽量减少后果.
科学领域:
- 儿科手术 儿科手术
- 血管异常 血管异常
- 医疗并发症 医疗并发症
背景情况:
- 淋巴细胞形 (LMs) 是一种需要治疗的先天性血管异常.
- 虽然药理学和干预方法是第一线的,但手术在某些特定情况下仍然是必不可少的.
- 确定预测术后并发症的因素对于患者管理至关重要.
研究的目的:
- 确定儿童淋巴发育不良的手术治疗后与永久性术后并发症相关的因素.
- 评估患者年龄,LM位置和形类型对手术结果的影响.
主要方法:
- 一个案例系列研究,比较LM手术后有后果 (病例) 和没有后果 (对照) 的儿童.
- 从2001年至2021年间为LMs进行手术的112名儿童收集的数据.
- 统计分析以确定与永久性并发症相关的因素.
主要成果:
- 与年龄大于1岁的儿童相比,年龄小于1岁的患者出现并发症的数量 (59%) 显著增加.
- 宫面部肌肉损伤和微囊性形与后果增加密切相关.
- 神经性并发症,主要是外围面部,是最常见的 (88%的并发症).
结论:
- 在12个月以下的婴儿中,淋巴发育不良的外科手术风险较高,特别是在宫面部和微囊型.
- 非激进切除显示出更少的并发症和可比的长期治愈率.
- 应明智地应用积极的手术策略,以避免有保证的后果.
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