儿科气管切除 胃成熟和气管皮质囊
Tu-Anh N Ha1, Samagra Jain1, Ari Schuman1
1Bobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, Texas, U.S.A.
The Laryngoscope
|January 24, 2024
概括
气管断层胃成熟不会影响儿科患者气管皮质 (TCF) 的风险. 这一发现即使考虑到患者的年龄和气管切除术的持续时间,也是如此.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 手术并发症 手术并发症
- 航空航道管理的管理.
背景情况:
- 气管皮 (TCF) 是儿童气管切除术后的一种潜在并发症.
- 了解影响TCF发展的因素对于优化患者的治疗结果至关重要.
研究的目的:
- 调查气管切除术胃成熟与儿科患者发展TCF的风险之间的联系.
- 确定胃成熟是否是TCF的独立风险因素.
主要方法:
- 在2012年至2021年期间接受了气管切除术和随后的脱管切除术的儿科患者的回顾性图表审查.
- 对人口统计数据,外科手术技术和TCF发展的分析,定义为持续性抽3个月后的脱.
- 进行了多变量分析,以调整气管切除术时的年龄和气管切除术的持续时间.
主要成果:
- 179名儿童符合入学标准.
- 气管切除术放置时的年龄较小和气管切除术持续时间较长显著与TCF风险增加有关 (p < 0.001).
- 胃成熟没有被发现与TCF风险有显著的关联 (p = 0.089),即使在多变量调整后.
结论:
- 气管缩胃成熟似乎没有影响儿童TCF的风险.
- 气管切除术时的年龄和气道装置的使用时间是TCF发展的重要风险因素.
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