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识别和治疗小时候的中肠卷发性肠转:一个多中心的回顾性研究

Xiaofeng Yang¹, Wei Wang², Kun Wang³

¹Department of Pediatric Surgery, Binzhou Medical University Hospital, Binzhou, Shandong, China.

Frontiers in pediatrics

|May 28, 2024

概括

对于儿童来说,延迟诊断肠道转化不良可能是致命的. 这项研究强调了识别非胆性吐和使用超声波 (US) 早期检测和治疗儿科肠道恶性转化的重要性.

科学领域:

儿科手术儿科手术
胃肠道成像 - 胃肠道成像
遗传异常是一种先天性异常.

背景情况:

肠道逆转是一种罕见的先天性异常,如果诊断延迟,可能会产生严重后果.
早期识别和适当的管理对于改善受影响儿童的结果至关重要.

研究的目的:

研究儿科患者肠道恶性旋转的诊断方法和治疗策略.
分析临床表现,成像发现,手术结果和术后并发症.

主要方法:

对75名被诊断患有肠道恶性转移的儿童的临床数据,成像结果,手术发现和术后结果的回顾性分析.
新生儿和非新生儿组之间的表现和结果的比较.

主要成果:

67名患者在1岁之前被诊断出来;88%的患者有中肠卷发症.
新生儿吐和黄的发生率明显高于非新生儿 (37.5%),高于新生儿 (89.29%).
超声波 (美国) 显示了高的诊断准确性 (97.30-100%);在新生儿中,开放式拉德手术很常见.

结论:

非胆汁性吐可能是最初的症状,需要对新生儿和非新生儿保持警.
超声波 (美国) 建议作为一线成像技术,因为它的准确性和速度.
开放式手术仍然是新生儿肠道恶性转换治疗的可行选择.

关键词:

拉德的程序是这样的.胆汁吐吐吐孩子们的孩子们的孩子们的孩子们.肠道转化不良的发生.中肠中肠的卷发性.

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