[在儿科患者中推迟尾切除术. 它有多安全?]
Sara Fuentes-Carretero1, Carme Grande-Moreillo1, Jaume Margarit-Mallol1
1Hospital Universitari Mútua de Terrassa, Barcelona, España.
Andes pediatrica : revista Chilena de pediatria
|January 14, 2025
概括
推迟对儿童无并发性尾炎的尾切除术并没有增加并发症或住院时间. 这种方法可以减少家庭和转诊中心的压力,当儿科外科医生不可用时.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 延迟尾切除术在缺乏立即儿科手术可用性的中心是一个可行的选择.
- 儿童无并发性尾炎需要谨慎管理,以优化结果.
研究的目的:
- 为了比较立即与延迟尾切除术的结果,小儿科患者无并发性尾炎.
- 评估延迟手术对住院时间和并发症率的影响.
主要方法:
- 一项分析性准实验性研究,涉及45名儿科患者 (6-14岁) 患有无并发性尾炎.
- 立即手术和延迟手术之间的结果比较 (诊断后平均21小时).
- 分析住院时间,术后并发症,以及与性尾炎相关的因素.
主要成果:
- 立即和延迟手术组之间没有观察到平均停留时间或并发症率的显著差异.
- 尾炎的存在与瘤性尾炎的可能性增加有关.
- 延迟手术组 (ADif) 包括24名患者,即时手术组 (AIn) 包括21名患者.
结论:
- 推迟尾切除术对于未复杂的尾炎的选定的儿科病例是安全的,没有显著增加住院或并发症.
- 适当的病人选择延迟尾切除术可以帮助避免不必要的转诊,减少家庭压力和医疗保健系统负担.
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