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宫腔整形对生长的影响
Abdiasis Abdilahi1, Seth Ramin2, Cassandra Meyer3
1University of Minnesota Medical School-Twin Cities, Minneapolis, Minnesota, U.S.A.
The Laryngoscope
|June 26, 2024
概括
palatoplasty手术并没有显著改善口腔裂口的儿童的生长速度,他们可以口服食用. 营养不良的儿童在手术后没有显示出术后生长百分位数的临床上有意义的增加.
科学领域:
- 儿科外科手术 儿科外科手术
- 头骨脸部异常情况
- 增长和发展 增长和发展
背景情况:
- 裂口 palatal修复 (palatoplasty) 是一个常见的手术干预儿童.
- 宫腔整形对生长速度的影响,特别是与营养状况有关的影响,需要进一步研究.
- 了解手术后的生长模式对于优化患者的治疗结果至关重要.
研究的目的:
- 为了评估宫腔整形术对口服养的宫裂儿童生长速度的影响.
- 为了比较营养不良和营养丰富的儿童进行宫腔塑造手术的成长结果.
- 为了确定宫腔整形是否独立地影响术后生长.
主要方法:
- 在2006年至2022年期间,对192名儿童进行了口腔裂口修复的回顾性图表审查.
- 数据包括人口统计,体重增加和世卫组织增长百分位数.
- 营养状况分类为营养不足 (≤3个百分点) 或营养 (>3个百分点).
主要成果:
- 营养不良和营养充足的群体都显示,手术后每周体重增加显著下降.
- 与营养不良儿童 (0.23%) 相比,营养不良儿童的中位数增长百分位数 (3.3%) 的增加更大.
- 体重增加的减少在营养状况上是相似的,但绝对增长百分位数的增加在被营养的儿童中显著更高.
结论:
- palatoplasty 不独立增强增长速度在儿童的口腔裂口谁可以保持口服饮食.
- 营养不良的儿童在术后生长百分位数中没有表现出临床显著的改善.
- 仅仅手术干预可能不足以克服营养不良人口的生长缺陷.
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