在儿童中出现Bochdalek的晚期表现 - 在单一中心的经验
S Arslan1, M H Okur1, M Azizoğlu2,3
1Department of Paediatric Surgery, Medical Faculty, Dicle University, Turkey.
概括
在1个月以上的婴儿中,晚期出现的Bochdalek (BH) 显示出不同的临床特征. 与开放手术相比,微创手术 (MIS) 提供了较短的手术和住院时间.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 遗传异常 是一种先天性异常.
背景情况:
- 博赫达勒克 (BH) 可以在婴儿期晚期出现,超出新生儿期.
- 了解晚期呈现的BH的临床谱和管理对于最佳结果至关重要.
研究的目的:
- 为了回顾晚期出现的博奇达勒克 (BH) 的经验.
- 分析临床表现,诊断方法和治疗策略.
- 评估晚期BH手术干预的结果.
主要方法:
- 在1983年至2022年间,对患有晚期出现BH (在1个月后被诊断出BH) 的患者进行了回顾性分析.
- 收集的数据包括人口统计,临床症状,相关异常,放射和手术内发现,以及手术后的过程.
- 开放式手术 (laparotomy) 和微创手术 (MIS) 之间的结局的比较.
主要成果:
- 晚期出现的BH占研究的所有隔膜的26% (46/175).
- 男性占主导地位 (57%).
- 与腹腔切除术相比,微创手术 (MIS) 与明显缩短的手术和住院时间有关 (p < 0.05).
结论:
- 晚期出现的BH的临床表现是多样化的,从急性症状到慢性症状.
- 腹腔镜或胸腔镜的方法是可行的,并有利于选择的患者晚期呈现BH.
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