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儿科内镜柱状鼻治疗:经过100个连续病例后的经验教训

S Pérez-Bertólez1, I Casal-Beloy2, A Pasten2,3

  • 1Department of Pediatric Surgery, Hospital Sant Joan de Déu, Universitat de Barcelona, Passeig de Sant Joan de Déu, 2. 08950, Barcelona, Spain. spbertolez@yahoo.es.

Techniques in coloproctology
|December 10, 2024
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概括

与传统方法相比,儿科内镜柱状鼻治疗 (PEPSiT) 提供更快的愈合和更少的并发症. 这种最少的侵入性方法使儿童能够更快地恢复正常活动,并获得更好的结果.

关键词:
孩子 孩子 孩子 孩子内镜治疗是指内镜治疗.微创手术是最少的侵入性手术.这就是PEPSiT.柱状鼻腔是最常见的一个.柱状鼻疾病是指柱状鼻疾病.

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科学领域:

  • 儿科手术 儿科手术
  • 最少侵入性的技术
  • 柱状鼻管理 柱状鼻管理

背景情况:

  • 柱状鼻疾病影响儿童和青少年.
  • 传统的外科治疗,如切除和治疗通过二次意图 (EHSI) 或切除和初级关闭 (EPC) 有局限性.
  • 儿科内镜柱状鼻治疗 (PEPSiT) 的长期结果需要进一步评估.

研究的目的:

  • 为了比较PEPSiT的有效性和优势与儿科患者的柱状鼻常规外科手术技术.
  • 评估愈合时间,疼痛,恢复正常生活,并发症和复发率.

主要方法:

  • 一项涉及2019-2022年149名儿科患者的准实验性研究.
  • 三种手术方法的比较:PEPSiT (100名患者),EHSI (28名患者) 和EPC (21名患者).
  • 手术技术的选择取决于外科医生的自由裁量权.

主要成果:

  • 与EHSI (16周) 和EPC (7周) 相比,PEPSiT的治愈速度明显更快 (中位数为4周) (p <0.01).
  • 在PEPSiT组 (p < 0.01) 中观察到下部疼痛评分 (VAS) 和减少对止痛药的需求.
  • PEPSiT导致更早恢复正常生活,并与EHSI和EPC相比,并发症和复发率要低得多.

结论:

  • 内镜针状鼻治疗 (PEPSiT) 是对儿科针状鼻的一种有效的中期手术选择.
  • 与传统技术相比,PEPSiT具有显著的优势,包括减少并发症和更快的恢复.
  • 用PEPSiT治疗的患者可以在没有限制的情况下恢复正常生活,这表明了有利的功能结果.