儿童患有尾炎尾炎的保守管理与非尾炎尾炎:系统性审查和元分析
Fatemeh Akbarpoor1, Karen Blanco1, Barbara Bombassaro Masiero2
1Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai, United Arab Emirates.
儿科尾炎中的尾炎减少了简单病例的保守治疗成功率,这表明早期手术. 在尾炎病例中复发率较高,可能需要进行间隔尾切除术.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床结果 临床结果
背景情况:
- 尾炎在多达三分之一的儿科急性尾炎病例中被发现.
- 尾炎对保守管理结果的影响尚未得到充分证实.
研究的目的:
- 为了比较儿童尾炎与没有尾炎的保守治疗结果.
- 评估尾炎对初始治疗成功率和复发率的影响.
主要方法:
- 观察性研究的系统审查和元分析.
- 在PubMed,Cochrane,Embase和Web of Science数据库中进行了搜索.
- 包括的研究比较了儿科尾炎和保守管理的非尾炎尾炎.
主要成果:
- 分析了12项涉及814名患者的研究,35%患有尾炎.
- 总体而言,最初的保守管理成功没有显著差异 (OR 0.70).
- 简单的尾炎与尾炎的成功率较低 (OR 0.42),但不是复杂的病例 (OR 1.01).
- 在尾炎中观察到明显更高的复发率 (OR 2.75).
结论:
- 尾炎的存在会对简单尾炎的保守治疗成功产生负面影响.
- 由于复发风险较高,可以考虑隔间尾切除尾炎.
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