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治疗新生儿肠道阻塞与 ostomy 在连续性:一个单一中心的比较研究
Yanmin Zhang1, Wei Gao1, Wei Zuo1
1Department of Neonatal Surgery, Anhui Provincial Children's Hospital, Hefei, China.
Translational pediatrics
|October 14, 2024
概括
连续性骨术 (OIC) 为新生儿肠道阻塞提供了一种有效的手术方法,改善营养状况并缩短恢复时间. 这种方法有助于保持肠道连续性,并缩短了口腔形成和关闭手术之间的间隔.
科学领域:
- 儿科手术 儿科手术
- 新生儿护理 新生儿护理
- 胃肠道手术 胃肠道手术
背景情况:
- 新生儿肠道阻塞缺乏关于最佳手术治疗的共识.
- 存在各种不同的外科手术方式,需要进行比较疗效研究.
研究的目的:
- 为了评估Ostomy in Continuity (OIC) 的治疗疗效.
- 为治疗新生儿肠道阻塞提供外科参考.
主要方法:
- 对46名患有肠道阻塞的新生儿进行了回顾性分析 (无,NEC,麦科尼乌斯,卷积).
- 在OIC组 (18名患者) 和对照组 (28名患者) 之间进行了比较,这些患者接受了其他肠管切除手术.
- 评估一般信息,术前和术后并发症.
主要成果:
- 而OIC组的表现则是亲肠道营养的持续时间较短 (P=0.02).
- 在OIC组中,静脉形成和关闭之间的间隔较短 (P=0.02),静脉关闭手术的持续时间较短 (P<0.001).
- 在OIC组中观察到手术后并发症较少 (P<0.001) 和更好的体重对年龄Z分数 (P=0.01).
结论:
- 连续性骨术 (OIC) 是有效的新生儿肠道阻塞.
- OIC改善新生儿的营养状况,并保持肠道连续性.
- OIC缩短了整体治疗间隔,从口腔形成到闭合.
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