[在儿科实践中胃肠道的磁性异物]
V V Ignatiev1, A V Muraviev1, T A Garapov1,2
1Sevastopol City Hospital No. 5 - Center for Maternal and Child Health, Sevastopol, Russia.
Khirurgiia
|March 13, 2024
概括
在胃肠道中存在多个磁性异体的儿科患者可以从腹腔镜中获益. 与腹腔切除术相比,这种微创手术提供了更短的住院时间和更快的恢复.
科学领域:
- 儿科手术 儿科手术
- 胃肠外体 胃肠外体 胃肠外体
- 最少侵入性的手术
背景情况:
- 在儿科胃肠道中存在多个磁性异物,这对外科手术来说是一个很大的挑战.
- 及时有效的手术干预对于管理这些病例至关重要.
研究的目的:
- 为了分析需要为多个胃肠道磁性异物进行手术的儿科患者.
- 为儿科实践建立治疗和诊断算法.
- 为了比较外科手术技术,并确定最佳的方法.
主要方法:
- 对9名儿科患者进行了回顾性单中心研究.
- 纳入标准:为多个磁异体进行手术;排除标准:门诊病例和内镜切除.
- 手术包括腹腔镜和/或腹腔切除术,随后对术后结果进行分析.
主要成果:
- 所有患者都取得了成功的结果,并没有出现并发症.
- 腹腔镜术导致住院时间较短 (7天),而腹腔切除术 (12天).
- 经过腹腔镜检查的患者不需要进入重症监护室 (ICU),与腹腔切除术 (4.5±2.2天在ICU) 治疗的患者不同.
- 在腹腔镜组 (1天) 与腹腔切除组 (3天) 相比,肠道食在腹腔镜组 (1天) 较早开始.
结论:
- 腹腔镜是多个胃肠道磁性异体的儿科患者的首选手术方法.
- 腹腔镜的优点包括更短的住院时间,避免ICU入院,减少外科创伤,及早开始肠道养.
相关概念视频
Magnetic Resonance Imaging
5.1K
Magnetic resonance imaging (MRI) is a noninvasive medical imaging technique based on a phenomenon of nuclear physics discovered in the 1930s, in which matter exposed to magnetic fields and radio waves was found to emit radio signals. In 1970, a physician and researcher named Raymond Damadian noticed that malignant (cancerous) tissue gave off different signals than normal body tissue. He applied for a patent for the first MRI scanning device in clinical use by the early 1980s. The early MRI...
5.1K
Imaging Studies I: CT and MRI
239
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
239
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
83
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
83
Assessment of the Rectum and Anus
208
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
208
Lower GI Series: Barium Enema
267
A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
Procedure Details
The examination begins by inserting a lubricated rectal tube into the patient's rectum to administer a radiopaque barium solution. The barium flow is carefully...
267
Upper GI Series: Barium Swallow
301
The Barium Swallow Study, or a Barium Esophagogram, is a diagnostic imaging method used to visualize the upper gastrointestinal (GI) tract, including the esophagus, stomach, and small intestine. It employs barium sulfate, a radiopaque contrast material, to provide clear images of the upper digestive system, helping to identify abnormalities, diseases, or structural issues.
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
Purpose and Procedure
Patients undergoing this procedure ingest a liquid containing barium sulfate with a chalky...
301


