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聚焦腹部超声波利用对中肠卷发症儿童结果的影响

Desi M Schiess¹, Marla B K Sammer¹, Andrew C Sher¹

¹Edward B. Singleton Department of Radiology, Texas Children's Hospital, 6701 Fannin St, Houston, TX, 77030, USA; Department of Radiology, Baylor College of Medicine, One Baylor Plaza, Houston, TX, 77030, USA.

Journal of pediatric surgery

|February 28, 2024

概括

针对儿童中肠卷发的超声波 (美国) 改善了成像速度,减少了肠道缩和短肠综合征. 虽然整体结果没有显著变化,但美国显示出更好的患者结果的潜力.

科学领域:

儿科手术儿科手术
诊断成像诊断成像诊断成像
胃肠病学胃肠病学

背景情况:

中肠卷发症是儿童手术紧急情况.
超声波 (美国) 越来越多地用于诊断,但其临床影响尚不清楚.
评估US作为主要诊断工具至关重要.

研究的目的:

评估US作为儿科中肠的第一线成像模式的影响.
为了确定美国是否影响成像调动,手术时间,再养,停留时间,以及肠道缩,短肠综合征和死亡率.

主要方法:

80名经过手术确认的中肠卷发症儿童的回顾性队列研究 (2014-2021年).
实施US作为一线成像模式之前和之后的结果的比较.
基于使用的诊断成像分析:仅用于美国,仅用于上部肠道 (UGI),或两者兼而有之.

主要成果:

在美国实施前与后的总体结果中没有统计学上显著的差异.
美国诊断的患者 (仅美国或美国+UGI) 与仅UGI相比,成像调动显著更快.
在美国诊断的患者显示,与仅UGI相比,肠道缩和短肠综合征的可能性降低.

结论:

实施US作为中肠卷发的第一线成像工具,并没有给整体临床结果带来统计学上显著的变化.
然而,美国的诊断与更快的成像动员和肠道缩和短肠综合征的发病率降低有关.
研究结果表明,US有潜力改善中肠卷发症管理中的患者结果.

关键词:

马尔旋转是错误的旋转.中肠卷发症 (Midgut volvulus) 是一种中肠卷发症.障碍障碍障碍障碍障碍儿科儿科儿科超声波超声波是指超声波的使用.上部胃肠道上部肠道上部

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