尾切除在管理肠道逆转是必要的吗?
Eti Sthapak1, Pujna Kanneganti2, Vijai Datta Upadhyaya2
1Department of Anatomy, RML, Lucknow, Utter Pradesh, India.
Journal of Indian Association of Pediatric Surgeons
|January 4, 2024
概括
在儿科肠道恶性旋转手术中,在Ladd期间进行预防性尾切除.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
- 遗传异常是一种先天性异常.
背景情况:
- 肠道逆转是一种先天性异常,影响肠道的正常位置.
- 拉德的手术传统上包括预防性尾切除,以控制旋转不良.
研究的目的:
- 评估预防性尾切除是否在拉德的肠道恶性旋转手术中至关重要.
- 为了确定尾切除术是否可以在逆转的管理中省略.
主要方法:
- 对66名患有肠道恶性转移的儿科患者进行了回顾性观察性研究.
- 从2008年1月到2018年12月在北印度的第三级护理中心收集的数据.
- 对接受拉德手术的患者进行结果的分析,包括和没有预防性尾切除术,并至少进行5年的随访.
主要成果:
- 在66名患者中,41人进行了预防性尾切除,25人没有.
- 在没有进行预防性尾切除的患者中,在随访期间没有出现尾炎或相关并发症.
- 这表明尾可以在没有不良事件的情况下保存.
结论:
- 拉德手术可以在没有预防性尾切除术的情况下安全地进行.
- 保存附件可能会带来未来的好处.
- 尾炎的早期诊断是可行的现代成像和记录,支持省略预防性尾切除.
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