艾米兰的新分类,我们的经验:一个回顾性观察性研究与文献综述
Cem Kaya1, Alparslan Kapisiz1, Ramazan Karabulut1
1Department of Pediatric Surgery, Faculty of Medicine, Gazi University, Ankara, Turkiye.
Annals of surgical treatment and research
|October 17, 2024
概括
艾米安德 (AH) 在尾处于囊中,发生在0.73%的 inguinal 中. 治疗取决于尾的状况,建议在炎症或不可减小的情况下进行尾切除.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 手术解剖学手术解剖学
背景情况:
- 艾米安德 (AH) 是一种罕见的疾病,虫状尾位于 inguinal 囊内.
- 它代表了一个独特的手术挑战,具有不同的临床表现和管理策略.
研究的目的:
- 介绍Amyand's (AH) 的临床经验和文献审查结果.
- 分析儿科患者中AH的发病率,临床特征和结果.
主要方法:
- 追溯分析2009-2020年间修复的13个AH病例以及1,774个其他 inguinal hernias.
- 来自PubMed,Web of Science和Cochrane数据库的165个未发表和已发表的儿童AH病例的综合文献综述.
主要成果:
- 在所有 inguinal hernias 中,AH 发生在 0.73%,在 incarcerated hernias 中发生在 8.6%.
- 受影响婴儿的平均年龄为5.74个月;病例主要影响男性 (97.3%) 和右侧 (88.7%).
- 常见的症状包括 inguinal 胀,疼痛,发烧,吐,有时还会出现败血症或 stercoral .
结论:
- 高结足以使AH的可减少,健康的尾.
- 尾切除术和住院治疗适用于不可缩减或炎症的尾,反映出需要量身定制的手术管理.
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