儿童女性生殖器创伤的特征使用新型分级系统和管理建议
Katherine Bergus1, Abigail Frooman1, Sydney Castellanos2
1Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Journal of pediatric surgery
|July 5, 2024
概括
儿科女性生殖器创伤 (PFGT) 的新分级系统可以指导管理,减少不必要的程序. 较低级别的伤害往往不需要手术修复,而较高级别的伤害可能会从床边镇静中受益.
科学领域:
- 儿科手术 儿科手术
- 妇科 妇科医生 妇科
- 创伤护理 创伤护理
背景情况:
- 对于儿科女性生殖器创伤 (PFGT) 缺乏标准化的分级系统导致患者管理不一致.
- 目前的做法可能会导致医疗保健资源的过度利用,相对于损伤的严重程度.
研究的目的:
- 描述PFGT在高容量创伤中心的治疗模式和结果.
- 开发和验证PFGT的新型分级系统.
- 提出基于新分级系统的管理算法.
主要方法:
- 从2018年到2022年,对19岁以下的女性患有生殖器创伤的患者进行了回顾性评估.
- 应用由儿科外科和妇科开发的新型PFGT分级系统.
- 对人口统计,伤害特征,干预,麻醉使用和结果的分析,比较伤害等级.
主要成果:
- 审查了353名患者;中位数年龄为6.4岁.
- 6%的低级 (1-2) 伤害需要修,而75%的高级 (5-6) 伤害需要修.
- 整体麻醉用于83%的修复,其中18%不需要 sutures.
结论:
- 建议为PFGT提供一种新的分级系统,并配备相关的管理算法.
- 1-2级的PFGT伤害很少需要 suture修复,可能不需要外科咨询.
- 对于更严重的伤害,建议进行手术咨询,并考虑在镇静下进行床边修复.
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