儿科胸部外出综合征:一个系统的审查和元分析
Anthony Price1,2, Nathan Fredricks1,2, Nina Truong1,2
11John Sealy School of Medicine, The University of Texas Medical Branch at Galveston, Texas.
儿科胸部外出综合征 (TOS) 与成人病例不同,表现不同,静脉和动脉参与率更高. 手术提供了高的症状改善,在儿童中不经常出现并发症.
科学领域:
- 整形外科和运动医学
- 儿科手术 儿科手术
- 血管外科 血管外科
背景情况:
- 胸腔输出综合征 (TOS) 是一种复杂的神经血管压缩障碍.
- 儿科TOS具有独特的临床特征,与成人TOS不同.
- 了解这些差异对于准确的诊断和儿童的有效治疗至关重要.
研究的目的:
- 系统地审查和分析儿科胸部外出综合征 (TOS) 的特征.
- 为了比较儿科TOS与成人TOS的临床表现,病因,治疗和结果.
- 为儿童群体TOS的独特方面提供见解.
主要方法:
- 根据儿童TOS研究的PRISMA指南进行了全面的PubMed搜索.
- 分析了2008年至2022年间发表的6项相关研究,包括227例儿科TOS病例 (216名患者).
- 提取的数据包括人口统计,TOS类型,横向性,骨异常,治疗方法,并发症和结果.
主要成果:
- 儿科TOS显示女性与男性的比例为1.84:1,平均年龄为15.49岁.
- 与成年人相比,神经性TOS的患病率较低 (75%),静脉和动脉TOS的比例较高.
- 包括肌肉和骨切除在内的手术干预导致症状改善率高 (89%),并发症率低 (5.66%).
结论:
- 与成人TOS相比,儿童TOS表现出不同的流行病学和临床特征.
- 认识到这些差异对于优化儿科患者的诊断和治疗策略至关重要.
- 进一步的研究是有必要的,以探索儿童TOS保守管理的有效性.
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