空气阴道减少与水静电阴道减少对于儿童的肠:系统性审查和元分析
Lan Liu1, Ling Zhang1, Yifan Fang1
1Department of Pediatric Surgery, Fujian Children's Hospital (Fujian Branch of Shanghai Children's Medical Center), College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, China.
PloS one
|March 18, 2024
概括
超声引导的水静止阴道减少 (UGHR) 优于光学引导的空气阴道减少 (FGAR) 对于儿科内肠,提供更快,更成功的减少和更少的并发症.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 医疗成像医学成像
- 手术手术手术手术手术手术手术手术手术手术
背景情况:
- 肠接是儿童常见的手术紧急情况.
- 传统的光学引导的气囊减少 (FGAR) 携带与辐射暴露相关的风险.
- 超声导向的水静止阴道减少 (UGHR) 是一种潜在的更安全的替代方案.
研究的目的:
- 为了比较UGHR与FGAR在儿科内宫内分泌的有效性和安全性.
- 评估关键结果,包括减少成功率,减少时间和并发症发生率.
主要方法:
- 一个系统的审查和对回顾性研究的元分析.
- 包括49项研究,包括9391名儿科患者 (4,841名UGHR,4,550名FGAR).
- 在多个数据库中从2003年1月到2023年3月的数据搜索.
主要成果:
- UGHR显示减少的时间显著缩短 (大规模杀伤性武器 = -4.183,P < 0.001).
- UGHR实现了更高的成功减少率 (RR = 1.128,P < 0.001) 和减少住院时间 (WMD = -1.215,P < 0.001).
- UGHR与整体并发症率较低 (RR = 0.296,P < 0.001) 和穿孔发生率降低 (RR = 0.405,P < 0.001) 相关.
结论:
- UGHR是一种非放射性,有效和更安全的方法来治疗儿科内.
- UGHR提供了优势,包括更短的减少时间,更高的成功率和更少的术后并发症.
- 这些发现支持UGHR作为一种首选的方法,减少穿孔和住院的风险.
相关概念视频
01:23Lower 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
01:21Drugs for Treatment of Constipation-Predominant IBS
162
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
162
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
80
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
80
01:21Inflammatory Bowel Disease V: Surgical Management
145
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
145
01:20Drugs Affecting GI Tract Motility: Other Laxatives
215
Laxatives are primarily used to alleviate constipation, a common gastrointestinal disorder characterized by infrequent bowel movements and difficulty passing stools. They work by various mechanisms to increase the volume or frequency of bowel movements. The primary modes of action of laxatives include increasing stool bulk, softening the stool, stimulating intestinal motility, and osmotically drawing water into the intestines.
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
Osmotic or saline laxatives, like magnesium hydroxide or milk of...
215
01:25Endoscopic Procedures II: Colonoscopy
91
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
91