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儿童疑似简单尾炎:我们应该使用非手术,无抗生素的方法吗? 一个观察性研究
Patricia Reis Wolfertstetter1, John Blanford Ebert2, Judith Barop2
1Faculty of Medicine, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053 Regensburg, Germany.
Children (Basel, Switzerland)
|March 28, 2024
概括
对于儿童的简单尾炎,一种非手术,无抗生素的方法是可行的,只有6-10%需要二次尾切除. 这种保守的管理可能有助于避免儿童腹痛不必要的手术.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 简单的尾炎治疗包括抗生素或尾切除术.
- 对儿科尾炎进行非手术,无抗生素治疗的评估至关重要.
研究的目的:
- 评估对儿童疑似简单尾炎的保守的,无抗生素的管理策略的可行性和安全性.
- 在非手术治疗的儿科患者中,确定尾炎复发率和二次尾切除的需要.
主要方法:
- 365名疑似尾炎的儿科患者 (0-17岁) 的回顾性单中心研究 (2011-2012).
- 保守治疗 (n=226) 和尾切除术 (n=139) 的比较.
- 2014年后续行动,以评估非手术组中的尾炎复发情况.
主要成果:
- 14% (6.2%) 的保守治疗患者需要进行二次尾切除;4.4%的人确诊了简单的尾炎.
- 在一个高概率的子集 (n=29),10.3%需要二次尾切除.
- 在随访期间没有报告任何并发症.
结论:
- 保守的,无抗生素的方法是医院环境中无并发症的儿科尾炎的潜在选择.
- 这一策略可以减少儿童腹痛不必要的手术干预.
- 需要进一步的研究来确定这种方法的最终诊断和管理标准.
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