总结肠腺炎:在转诊中心的管理和长期结果
Shalini Gajanan Hegde1, Rajkiran Srinivas Raju1, Attibele Mahadevaiah Shubha1
1Department of Paediatric Surgery, St. John's Medical College Hospital, Bengaluru, India.
Pediatric surgery international
|November 22, 2024
概括
在低收入中等收入国家 (LMIC) 管理全结肠病 (TCA) 是很困难的. 这项研究发现,尽管存在挑战,但印度TCA患者的治疗结果与发达国家相当.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 总结肠腺炎 (TCA) 带来了独特的管理挑战,特别是在资源有限的环境中.
- 诊断和治疗TCA的有效策略对于改善患者的治疗结果至关重要.
研究的目的:
- 分析总结肠腺炎患者的人口特征,临床表现,管理策略和长期结果.
- 评估在低中等收入国家 (LMIC) 环境中对TCA标准化治疗方案的有效性.
主要方法:
- 在一个印度推中心对22名患有全结肠结膜炎的患者进行了22年后期的回顾.
- 使用定性评估和标准化肠功能评分来评估长期结果.
主要成果:
- 延迟的美经 (54%) 和慢性便秘 (36%) 是常见的表现.
- 在71%的病例中,对比湿疹发现与最终组织学之间存在差异.
- 在平均随访10.3年后,11名患者实现了肠功能评分≥17,表明了有利的结果.
结论:
- 在LMICs中,诊断和管理总结肠腺炎仍然具有挑战性.
- 实施的协议导致发病率和长期结果与发达国家报告的结果相美.
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