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肠道对比协议在儿科粘合性小肠阻塞中的实用性:一个前性的多中心观察性研究
Shannon N Acker1,2, Romeo Ignacio3, Katie W Russell4
1Division of Pediatric Surgery, Children's Hospital Colorado, University of Colorado School of Medicine, Aurora, CO.
Annals of surgery
|January 23, 2024
概括
肠道对比挑战并没有减少儿童粘合性小肠阻塞 (ASBO) 的手术率或住院治疗. 需要进一步的研究来澄清对比在治疗儿童这种疾病中的作用.
科学领域:
- 儿科手术 儿科手术
- 胃肠道放射学 胃肠道放射学
- 腹部成像 腹部成像 腹部成像
背景情况:
- 成年人患有粘性小肠阻塞 (ASBO) 的肠道对照方案与手术减少和住院时间缩短有关.
- 关于这些方案的疗效,仅有有限的儿科特异性数据.
研究的目的:
- 评估基于肠道对比的协议在诊断和管理儿科粘合性小肠阻塞 (ASBO) 的有效性.
主要方法:
- 从2020年10月到2022年12月,在9家儿童医院进行了前性观察研究.
- 包括136名患有ASBO的儿童 (1-20岁),接受非手术治疗.
- 儿童的比较是基于他们是否接受了肠道对比挑战.
主要成果:
- 对比 (36.9%) 和无对比 (34.6%) 组之间的操作干预率没有显著差异 (P=0.93).
- 非手术管理的成功率相似 (64%),在停留时间或再接收率上没有差异.
- 在需要手术的患者中,对比剂的使用没有影响手术前的时间或小肠切除率.
结论:
- 肠道对比方案似乎不会减少对手术的需要或缩短儿科ASBO的住院时间.
- 建议进行较大的随机试验,以确定放射性对比在治疗儿科ASBO中的作用.
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