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淋巴缺陷的短期术后并发症手术切除:一个20年的机构审查

Olivia A Keane¹, MaKayla L O'Guinn¹, Sarah Adams²

¹Division of Pediatric Surgery, Children's Hospital Los Angeles, Los Angeles, CA, USA.

Journal of pediatric surgery

|January 9, 2025

概括

在21岁以下的患者中,手术切除淋巴形 (LMs) 导致了诸如血清瘤和感染等常见并发症,但大多数患者报告说生活质量有所改善. 在32%的完整切除术中发现了复发.

科学领域:

血管外科血管外科
儿科手术儿科手术
皮肤病学皮肤病学

背景情况:

淋巴发育不良 (LMs) 是一种先天性血管异常,可能导致显著的发病率.
手术切除是症状LM的主要治疗方式,但结果和并发症需要仔细评估.

研究的目的:

评估结局和术后并发症与手术切除淋巴发育不良相关的结果.
评估手术管理在改善患者生活质量的有效性.

主要方法:

对于21岁以下的患者的淋巴发育不良的109次手术的回顾性审查.
收集的数据包括20年 (2004-2024) 的术后结果,并发症和治疗.
群组研究的设计与证据水平III.

主要成果:

最常见的30天术后并发症是血清瘤 (18.3%),表面手术部位感染 (18.3%) 和伤口脱光 (12.8%).
观察到神经麻 (5.5%),淋巴 (2.8%),血液瘤 (3.7%) 和 (4.6%) 的发病率较低.
瘤复发发生在32%的完整切除术中,而69.7%的患者报告主观生活质量改善.

结论:

血清瘤,手术部位感染和伤口脱光是LM切除后最常见的短期并发症.
尽管出现了显著的并发症率,但手术治疗LM导致患者满意度高,症状改善.
多学科护理对于优化LM切除患者的治疗结果至关重要.

关键词:

淋巴发育不良淋巴发育不良手术后的结果血管异常血管异常

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