临床特征和急性腹部的危险因素在患有腹部淋巴发育不良的患者
Congxia Yang1, Tong Qiu1, Min Yang1
1Division of Oncology, Department of Pediatric Surgery, West China Hospital of Sichuan University, Chengdu, China.
Journal of vascular surgery. Venous and lymphatic disorders
|September 21, 2024
概括
腹腔淋巴发育不良 (ALM) 很少见,最常见的是背和小肠间肠类型. 年轻年龄和小肠介质性ALM是发展急性腹部的关键风险因素.
科学领域:
- 医学成像和诊断 医学成像和诊断
- 手术病理学手术病理学
- 儿科手术 儿科手术
背景情况:
- 腹部淋巴发育不良 (ALM) 是很少诊断的,在医学文献中很少报道.
- 现有的报告通常由小型案例系列组成,限制了对ALM特征和相关风险的全面理解.
研究的目的:
- 为了描述ALMs的临床表现.
- 为了确定与ALMs患者的急性腹部相关的危险因素.
主要方法:
- 在2008年12月至2023年1月期间诊断出ALM的345名患者的回顾性审查.
- 后勤回归分析 (单因子和多变量) 来评估ALM和急性腹部之间的关联.
主要成果:
- 39.1%的患者无症状;24.6%出现了急性腹部.
- 逆皮质淋巴发育不良 (LMs) 占病例的42.6%.
- 儿童有明显更高的急性腹部发生的可能性 (OR,5.128;P = .002).
- 小肠介质性LMs更频繁地与急性腹部相关 (OR,2.926;P = .023).
结论:
- ALM很少见,通常是潜伏地呈现的,后皮质和头间介质LMS是最常见的类型.
- 年轻年龄和小肠介质淋巴形形被确定为ALM患者急性腹部的独立风险因素.
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