一项多机构研究,将新生儿的口腔位置与肠道穿孔进行比较
Stephanie Y Chen1, Gabriella Grisotti2, Shale J Mack3
1Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, California; Division of Pediatric Surgery, Cedars-Sinai Medical Center, Los Angeles, California.
新生儿肠静脉瘤的位置不会影响伤口并发症. 独立位点口腔可能会增加患有肠道穿孔的婴儿的脱落风险. 患者因素指导着口腔静脉置置的决定.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 外科手术的结果
背景情况:
- 患有肠道穿孔的新生儿通常需要手术干预,包括制造口腔.
- 胃口安置可以在腹腔切口内或在单独的位置.
- 胃口位置对术后伤口并发症的影响尚未得到充分证实.
研究的目的:
- 调查静脉位与新生儿手术后伤口并发症风险之间的关联.
- 为了确定影响创伤并发症的因素,在婴儿的肠静脉形成后.
主要方法:
- 多机构对新生儿 (≤3个月) 进行新生儿腹腔切除术和肠静脉瘤创建以进行肠穿孔的后期审查.
- 患者按静脉位分层:腹腔切口与单独的位置.
- 分析的结果包括伤口感染/消亡,口腔刺激,收缩,狭窄和脱落. 用多变量回归来确定相关因素.
主要成果:
- 总共有79名新生儿被纳入调查,其中51.9%的婴儿在腹腔切割处安置了口腔,48.1%的婴儿在腹腔切割处安置了口腔.
- 两组之间没有观察到伤口感染/消亡,周围膜刺激,口腔收缩或口腔狭窄的显著差异.
- 隔离位点口腔与口腔脱的可能性增加有关 (几率比6.54).
结论:
- 在腹腔切口内将静脉管纳入静脉管并不会增加新生儿受伤并发症的风险.
- 静脉口腔在一个单独的位置放置可能与更高的静脉口腔脱落发病率有关.
- 个体患者的因素应指导决策过程,以选择最佳的口腔位在接受肠道穿孔手术的新生儿的选择.
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