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儿科手术后 inguinal 修复后的慢性手术后 inguinal 疼痛 (CPIP) - 一个回顾性分析

A Widder¹, H Bucher¹, A K Reinhold²

¹Department of General, Visceral, Transplant, Vascular and Pediatric Surgery, University Hospital of Wuerzburg, Wuerzburg, Germany.

Hernia : the journal of hernias and abdominal wall surgery

|January 5, 2025

概括

慢性术后 inguinal 疼痛 (CPIP) 影响 3.4% 的儿童在开放修复后. 女性的性别,年龄较大和以前的慢性疼痛是危险因素,而外周环膜阻塞可能是保护性的.

科学领域:

儿科手术儿科手术
疼痛管理疼痛管理
椎间板裂修复椎间板裂修复

背景情况:

阴带修复是一种常见的儿科手术程序.
慢性术后 inguinal 疼痛 (CPIP) 已在成年人身上得到了充分的证据,但在儿童身上没有充分的研究.
了解儿科患者中CPIP患病率和风险因素对于改善治疗结果至关重要.

研究的目的:

为了确定公开 inguinal 手术后儿童中 CPIP 的患病率.
为了确定与此种人群中CPIP发展相关的潜在风险因素.
探索可能减轻CPIP的潜在保护因素.

主要方法:

对176名儿科患者 (4-15岁) 进行了回顾性分析,这些患者接受了开放的 inguinal hernia 修复 (2020-2022).
数据收集包括先前存在的疾病,外科手术期间的细节,以及使用尾部外周阻塞.
一个标准化问卷评估了CPIP流行率和术后止痛药的使用,平均随访时间为26.4个月.

主要成果:

在手术后3个月,3.4%的儿童报告了CPIP.
确定的CPIP潜在风险因素包括女性性别,年龄较大 (平均8.3岁相比5岁),以及慢性疼痛史.
术内尾部外周阻塞与较低的CPIP率相关 (66.7%对比97%).

结论:

初步发现表明女性性别,年龄较大和以前的慢性疼痛是儿科CPIP的危险因素.
术内尾部外周阻塞和足够的术后止痛可以作为保护因素.
需要进一步的研究来证实这些预测因素,并阐明潜在的病原体,以改善治疗策略.

关键词:

尾巴外周膜阻塞尾巴外周膜阻塞慢性手术后 inguinal 疼痛慢性手术后 inguinal 疼痛慢性手术后 inguinal 疼痛内 Hernia 是一个内.儿科修复儿科修复已经解决的 inguinal 疼痛.

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