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在拉透后,患有长段和全结肠赫施普朗格病的儿童的结果
A K Wardhani1, K Dwiantama1, K Iskandar2
1Universitas Gadjah Mada/Dr. Sardjito Hospital, Faculty of Medicine, Public Health and Nursing, Department of Surgery, Pediatric Surgery Division, Yogyakarta, Indonesia.
The Medical journal of Malaysia
|August 31, 2024
概括
患有长段赫施普隆病 (HSCR) 的儿童在手术后表现更好,而不是总结肠腺炎 (TCA) 患者. 长期跟踪对于管理诸如希尔施普朗相关肠球炎 (HAEC) 等并发症至关重要.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 遗传性疾病 遗传性疾病
背景情况:
- 赫施普隆病 (HSCR) 是一种先天性疾病,由于缺少质细胞,导致肠道阻塞.
- HSCR的分类包括短段性,长段性和全结肠角膜炎 (TCA).
- 对于长段的HSCR和TCA的术后结果需要进一步评估.
研究的目的:
- 为了评估功能性结果,Hirschsprung相关肠球炎 (HAEC),以及拉透手术后长段HSCR和TCA儿童的并发症.
主要方法:
- 对长段HSCR和TCA的儿科患者进行描述性分析,这些患者在2013年至2020年期间接受了手术.
- 用克里肯贝克评分系统来评估功能性结果.
- 使用HAEC评分系统评估HAEC发生率.
主要成果:
- 13名患者长段HSCR,6名患者TCA.
- 在所有长段HSCR患者中观察到良好的功能结果.
- 两名TCA患者经历了污染,并未实现自愿排便;HAEC发生在3名长段和4名TCA患者中.
结论:
- 与TCA患者相比,长段HSCR患者可能获得更好的功能结果.
- 在这两组中,HAEC的发生频率似乎是可比的.
- 在HSCR中,全面的长期随访对于早期发现并发症和优化治疗至关重要.
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