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在患有赫施普朗格病的患者中,过门内肠直肠拉透的结果

Tunde Talib Sholadoye¹, Oluseyi Oyebode Ogunsua¹, Yakubu Alfa²

¹Department of Surgery, Division of Paediatric Surgery, Ahmadu Bello University and Ahmadu Bello University Teaching Hospital, Shika-Zaria, Nigeria.

African journal of paediatric surgery : AJPS

|January 23, 2024

概括

在Hirschsprung的门内直肠拉透 (TERPT) 手术.

科学领域:

儿科手术儿科手术
胃肠病学胃肠病学
临床结果研究研究

背景情况:

赫施普朗氏病 (Hirschsprung's disease,简称HD) 是一种影响大肠的先天性疾病.
透过内直肠拉透 (TERPT) 是一种常用于HD的手术方法.
在特定的临床环境中评估TERPT结果对于优化患者护理至关重要.

研究的目的:

评估Hirschsprung病 (HD) 的过内肠直肠拉透 (TERPT) 的结果.
评估TERPT在尼日利亚环境中的安全性和有效性.
为了确定术后并发症和患者随访数据.

主要方法:

对71名儿童进行了回顾性审查,这些儿童在组织学上确诊了HD.
数据是在11年 (2006-2017年) 期间收集的.
分析了TERPT手术细节,相关异常和术后结果.

主要成果:

这项研究包括71名患有HD的患者 (48名男性,23名女性).
17名患者 (23.9%) 经历了手术后的并发症,包括肠球炎和静脉动脉问题.
观察到4.2%的死亡率,原因包括恶性热量升高.

结论:

在这种情况下,TERPT是一种安全有效的希尔施普朗格病治疗方法.
治疗HD的TERPT的短期结果通常是好的.
需要进行更长的后续研究,以充分评估TERPT后的长期肠道功能.

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