儿童有症状的门肠道异常
G Gerçel1,2, A I Anadolulu3,4
1Department of Paediatric Surgery, Şanlıurfa Training and Research Hospital, Turkey.
概括
儿童有症状的腹管 (OMD) 异常常常伴有胃肠道阻塞. 外科手术是最终的治疗方法,尽管由于并发症和子宫外组织存在,可能需要进行复杂的切除.
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:
- 腹中腔管 (OMD) 异常是由于腹中腔管的不完全消灭而产生的先天性疾病.
- 这些异常会导致儿童的各种胃肠道和节表现.
- 了解它们的特征对于及时诊断和管理至关重要.
研究的目的:
- 描述儿科患者患有症状性OMD异常的临床经验.
- 评估患者的人口统计,表现症状,手术治疗和结果.
- 确定与管理这些异常相关的挑战.
主要方法:
- 针对症状性OMD异常进行手术的儿科患者的回顾性分析.
- 在2018年10月至2022年11月的数据收集在桑利乌尔法训练和研究医院.
- 检查患者病历,手术发现和组织病理学报告.
主要成果:
- 35名患者 (82.8%男性) 平均年龄为31.7周,出现胃肠道阻塞 (48.6%),急性腹部 (31.4%),带异常 (11.4%),或直肠出血 (8.6%).
- 带异常仅在新生儿中观察到.
- 手术发现包括梅克尔膜炎 (40%),内肠塞 (25.7%) 和梅克尔带阻塞 (22.9%). 异位胃和/或胰腺组织在大约37%的切割样本中被发现.
- 手术后并发症是最小的 (5.7%),所有患者都幸存下来.
结论:
- 胃肠道阻塞是儿童症状性OMD异常的主要症状.
- 手术管理是最终的,形切除和简单的分泌器切除是选择,但有时需要更广泛的切除.
- 宫外组织的存在和严重并发症的可能性凸显了管理OMD异常的复杂性.
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