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在接受下分心骨质生成的罗宾序列患者中G管安置:多机构审查

Brianne B Roby¹, Avery Schnell², Tara L Johnson³

¹Children's Minnesota, Department of Otolaryngology, 347 N. Smith Ave, Gardenview Suite 600, St Paul, MN, 55102, USA.

Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery

|September 11, 2024

概括

罗宾序列 (RS) 的下分心骨质生成 (MDO) 很少需要胃口管 (G-管). 然而,在一个中心隔离的RS患者的G管率较高,这表明护理方案的变化.

科学领域:

面外科手术面外科手术
儿科手术儿科手术
遗传学遗传学是一个

背景情况:

罗宾序列 (RS) 是一种先天性疾病,其特征是微,光和呼吸道阻塞.
部分散骨质生成 (MDO) 是一种手术程序,用于纠正RS患者的部缺血症.
胃口管 (G-tube) 的放置是一种需要营养支持的潜在并发症.

研究的目的:

调查MDO和在孤立和综合性RS中术后G管安置率之间的关系.
为了比较G管安置率在三个儿科三级医疗中心的MDO.
确定影响MDO后G管安置的人口和临床因素.

主要方法:

对125名接受MDO (2004-2019) 的RS患者进行了多机构回顾性图表审查.
孤立RS (iRS) 和综合性RS (sRS) 组之间的G管安置率的比较.
使用费舍尔精确测试和多重物流回归模型进行统计分析.

主要成果:

总体而言,20%的RS患者在MDO后需要G管.
综合性RS (28%) 的G管率高于孤立的RS (14.7%).
所有患者的G管率在各个机构中都是相似的,但在一个中心的iRS患者显示出明显更高的比率.

结论:

大多数RS患者在MDO后不需要G管.
对iRS患者G管安置率的变化表明机构实践或协议存在差异.
对实践变化的进一步调查可能会优化在RS中MDO后的患者护理.

关键词:

破裂的宫殿口.胃口切除术是指胃口切除术,它是指胃口切除术.部分散注意力的情况微型形症 (Micrognathia) 是一种罗宾的序列是一个罗宾序列.

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