在婴儿期后延迟表现的逆转:基于临床表现,相关异常,诊断和管理的系统审查
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Updated: Jun 9, 2025

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Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
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Charu Sharma1, Nitinkumar Bhajandas Borkar1, C Ashwin1
1Department of Paediatric Surgery, AIIMS, Raipur, Chhattisgarh, India.
Journal of Indian Association of Pediatric Surgeons
|October 31, 2024
概括
本综述检查了婴儿期后诊断的肠道转化不良,详细介绍了其各种表现和管理. 它强调了急性症状,如腹痛和胆汁吐,以及慢性问题,如间歇性疼痛,吐和腹.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 发展生物学 发展生物学
背景情况:
- 肠道恶转和中肠卷发主要影响新生儿.
- 婴儿时期的诊断通常基于经典的呈现.
- 然而,在年龄较大的儿童中,可以诊断出恶性轮转,但关于发病率,表现和管理的数据有限.
研究的目的:
- 系统地审查和综合在婴儿期后诊断的肠道转移不良的发现.
- 整合有关其发病率,临床表现,诊断方式和管理策略的信息.
主要方法:
- 按照PRISMA指南进行的系统审查.
- 在PubMed/MEDLINE,SCOPUS,谷歌学者和科学网上进行全面的文献搜索.
- 对研究的分析,重点是临床表现和婴儿期以外诊断的恶性转换的结果.
主要成果:
- 临床表现不同,从急性 (常见于2岁以下) 到慢性 (随年龄增长而增加).
- 急性症状包括突然的腹痛和胆性吐.
- 慢性症状包括间歇性的模糊腹痛,吐和腹.
- 诊断工具范围从UGI对比度系列到USG与彩色多普勒和CECT扫描.
- 偏好进行手术管理,包括开放式和腹腔镜拉德手术.
结论:
- 在婴儿期以后,肠道逆转表现出各种急性和慢性症状.
- 采用了一系列的诊断成像模式.
- 手术干预,特别是拉德手术,仍然是治疗的标准.
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