整体透过内直肠拉透与拉皮显微镜辅助方法在患有直交形赫施普朗格病的儿童:一个系统的审查和元分析
Kexin Wang1, Chuanping Xie1, Jiayu Yan1
1Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
概括
整体透过门的直肠内膜拉透 (TTEPT) 和腹腔镜辅助的透过门的直肠内膜拉透 (LTEPT) 显示了与直肠西格的儿童相似的结果.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 赫施普朗氏病是一种先天性疾病,影响大肠.
- 脊柱形状的干扰是常见的,需要手术干预.
- 透过门内肠直肠拉透技术是标准的手术方法.
研究的目的:
- 为了比较全透过内直肠拉透 (TTEPT) 与腹腔镜辅助透过内直肠拉透 (LTEPT) 的临床结果.
- 为了评估手术后并发症和长期肠道功能,在儿科患者与直位西格形海尔施普朗格病.
主要方法:
- 在北京儿童医院 (2016-2021) 进行TTEPT或LTEPT的患者的回顾性研究.
- 临床数据收集和克里肯贝克问卷,用于长期评估肠功能.
- 结合研究数据与已发表文献的元分析 (NCBI PubMed).
主要成果:
- 在TTEPT和LTEPT之间,术后并发症 (例如,HAEC,静脉漏) 没有显著差异.
- 在这两种手术方法中,类似的长期肠功能结果,包括脏和便秘.
- 对414名患者 (236名TTEPT,178名LTEPT) 的分析证实了这些发现.
结论:
- TTEPT和LTEPT显示出可比的安全性和有效性概况.
- 这两种技术都适合在儿童中治疗直交形海尔施普朗格病.
- 手术方法不会显著影响术后并发症或肠道功能结果.
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