改性内镜逆行性尾炎治疗与腹腔镜尾切除术用于儿童无并发性急性尾炎
Anding Zhang1, Yalong Zhang1, Na Fan1
1Department of Pediatrics, Tangdu Hospital, Fourth Military Medical University (Air Force Medical University), Xi'an, China.
概括
改性内镜逆行性尾炎疗法 (mERAT) 是治疗儿童无并发性尾炎的腹腔镜尾切除术 (LA) 的可行替代方案. 这两种治疗都显示出相似的成功率和复发率,但mERAT的不良事件较少.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 内镜治疗方法 内镜治疗方法
背景情况:
- 尾炎在儿童中很常见.
- 腹腔镜尾切除术 (LA) 是标准的手术治疗.
- 改性内镜逆行性尾炎治疗 (mERAT) 提供了一种不那么侵入性的方法.
研究的目的:
- 为了比较mERAT与LA在患有无并发性尾炎的儿童中的疗效.
- 评估成功率,复发率和不良事件.
- 评估mERAT作为一种潜在的非手术替代方案.
主要方法:
- 对294名没有并发症的尾炎儿童的回顾性分析 (228 mERAT,66 LA).
- 从2018年10月到2021年5月收集的数据.
- 多变量回归分析用于控制混因素.
主要成果:
- mERAT的初始成功率为96.9%.
- 在1年成功率或复发率上,mERAT和LA之间没有显著差异.
- 在住院期间,mERAT组的不良事件发生率明显较低.
结论:
- mERAT是一种可行的,有效的治疗不复杂的儿科尾炎.
- mERAT提供了与LA相似的结果,并提高了安全性.
- 支持mERAT作为手术的潜在独立替代品.
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