在切口和单独排水后治疗失败的危险因素对于儿童周围的
CaiLin Ding1, YaJun Chen1, JiaYu Yan1
1Department of General Surgery, Beijing Children's Hospital, National Center for Children's Health, Capital Medical University, Beijing, China.
Frontiers in pediatrics
|February 23, 2024
概括
在儿童中,反复出现的围腹和状是常见的. 的病史和多次发生预测切口和排水后的治疗失败. 定期清洗伤口和坐浴可以改善结果.
科学领域:
- 儿科手术 儿科手术
- 结肠直肠手术 结肠直肠手术
- 传染性疾病 传染性疾病
背景情况:
- 经常出现的围腹 (PAs) 和内 (FIA) 是PAs切口和排水 (I&D) 后的重大挑战.
- 儿科患者I&D后治疗失败的危险因素仍未得到充分研究.
研究的目的:
- 为了回顾性地确定治疗失败的风险因素,切口和排水 (I&D) 周围 (PAs) 在儿童.
- 确定与小儿PA病例成功治疗结果相关的因素.
主要方法:
- 通过I&D治疗的PA儿童患者的回顾性审查.
- 排除具有易感因素的患者,如炎症性肠道疾病或血液瘤.
- 后勤回归分析以确定治疗失败和成功的独立预测因素.
主要成果:
- 治疗失败发生在15%的PA治疗和20%的FIA预防治疗中.
- 病史和多局部发生与治疗失败独立相关 (分别为OR=3.374和OR=4.649).
- 定期清洗伤口和坐浴独立地与治疗成功相关 (分别为OR=0.341和OR=0.128).
结论:
- 周腹的病史和多局部发生是治疗失败的关键预测因素.
- 后I&D伤口护理,包括定期清洁和坐浴,显著提高治疗成功率.
- 强调伤口护理对于所有儿科PA患者至关重要,特别是那些有PA病史或多局部发生的患者.
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