过门近位直肠结合切除术:一个单中心的经验在手术治疗严重的医疗耐药性异常性便秘中
Vatche Melkonian1, Lea Wehrli2, Andrea Bischoff2
1International Center for Colorectal and Urogenital Care, Children's Hospital Colorado, Aurora, CO, USA. vatchejames@yahoo.com.
Pediatric surgery international
|July 2, 2024
概括
透过门的近接直肠静脉切除术 (TPRS) 在儿童中显著改善了严重的异常性便秘症状. 该程序减少了医疗干预,消除了便事故,提高了患者的生活质量.
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:
- 严重的异常性便秘在儿科患者中带来了重大挑战.
- 医疗管理往往失败,需要替代治疗策略.
- 相关并发症包括经常去诊所,住院和降低生活质量.
研究的目的:
- 为了评估跨门近位直肠对位切除术 (TPRS) 在患有医疗耐药性严重异常性便秘的儿科患者的功能结果.
- 评估TPRS对肠道功能,医疗资源利用和生活质量的影响.
主要方法:
- 一项回顾性研究包括14名儿童患者,他们接受了TPRS治疗严重的异常性便秘.
- 对比了手术前和后的数据,包括肠道治疗方案,诊所访问,急诊室访问,住院和便节.
- 记录了患者的年龄,性别和自闭症谱系障碍的存在.
主要成果:
- 在14名患者 (10名男性,平均年龄10.1岁) 进行了TPRS,其中包括7名中度至重度自闭症患者.
- 手术后,与便秘相关的诊所访问,家庭访问,手术干预,急救诊所访问和住院的数量显著减少.
- 药和阴囊的需求减少了,所有患者都实现了便事故的完全解决.
结论:
- 透过门的近位直肠结合切除术是一种有效的手术选择,用于患有严重的儿科患者,医疗耐药性异常性便秘.
- 该程序导致显著的症状改善,减少了医疗保健利用率,并对生活质量产生了深刻的积极影响.
- 在复杂的病例中,TPRS为保守治疗失败的复杂病例提供了可行的解决方案.
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