直肠狭窄症可以仅用扩张来治疗吗? 一个PCPLC审查
Zoe M Saenz1, Kelly Austin2, Jeffrey R Avansino3
1Department of Surgery, UC Davis Children's Hospital, University of California Davis, Sacramento, CA, USA; Department of Surgery, Shriners Hospital for Children-Northern California, Sacramento, CA, USA.
Journal of pediatric surgery
|May 12, 2024
概括
遗传性直肠狭窄症通常可以通过仅仅扩张来成功治疗,从而有可能避免手术. 对于需要干预的患者来说,后部斜性瘤整形术 (PSARP) 是最常见的手术修复.
科学领域:
- 儿科手术 儿科手术
- 结肠直肠手术 结肠直肠手术
- 遗传异常是一种先天性异常.
背景情况:
- 传统上,先天性直肠狭窄症的治疗包括扩张或手术修复.
- 最近的证据表明,延迟是延迟或避免手术的首要治疗方法.
研究的目的:
- 描述先天性直肠狭窄症的治疗方法和结果.
- 使用儿科结直肠和盆腔学习联盟 (PCPLC) 注册表进行多机构审查.
主要方法:
- 对PCPLC注册表的后续数据库审查.
- 评估患者的人口统计,并发症,诊断工作,手术干预,肠道管理和并发症.
- 在14个中心对64名门或直肠狭窄症患者的分析.
主要成果:
- 13名患者 (22.8%门,14.3%直肠) 需要进行手术纠正; PSARP是最常见的手术.
- 11名门狭窄患者患有库拉里诺综合征,10名患有前圣体质量.
- 在门狭窄组中发现了一种伤口并发症;肠道管理在治疗方法之间显示出极小的差异.
结论:
- 该PCPLC注册表表明,仅通过扩张才能成功管理先天性直肠狭窄症.
- 后面松性瘤整形术 (PSARP) 仍然是手术修复的主要手术选择.
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