修改的马丁手术大囊微结肠肠道低活化综合征 (MMIHS)
Li Tian1,2, Chensen Ma1,2, Peng Cao1,2
1Department of Pediatric Surgery, Affiliated Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, Hubei, China.
Indian journal of pediatrics
|February 14, 2025
概括
修改后的马丁手术在治疗大囊微结肠肠道低活性综合征 (MMIHS) 方面表现有前途. 患者获得了积极的营养状况和良好的结果,尽管有些人需要持续支持.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 医疗器械 医疗器械
背景情况:
- 巨囊肠微结肠肠下垂体综合征 (MMIHS) 是一种罕见的先天性疾病,其特征是功能不良,结肠膨胀和肠道运动受损.
- 管理MMIHS经常涉及复杂的外科干预措施,以改善胃肠功能和促进肠道养.
研究的目的:
- 评估修改后的马丁手术在被诊断为MMIHS的儿科患者的治疗疗效和临床结果.
- 在手术参数和患者康复方面,将修改后的马丁手术与主教-库普手术进行比较.
主要方法:
- 对11名患有MMIHS的儿童进行了回顾性分析,这些儿童在2019年8月至2023年6月期间接受了手术治疗.
- 收集的数据包括患者人口统计数据,手术细节 (手术时间,血液损失) 和术后结果 (排便,恢复食,住院,并发症).
- 修改后的马丁手术和毕晓普-库普手术都进行了.
主要成果:
- 该研究包括11名儿童 (63.64%是男性),平均年龄为4.08岁.
- 平均手术时间为312.09分钟,平均血液损失为25.82毫升.
- 手术后的结果包括3.60天第一次排便,4.10天恢复食,平均住院时间为24.64天. 在9名幸存者中,有7人从管营养转变为管营养.
结论:
- 修改后的马丁手术证明了作为MMIHS有效治疗的潜力.
- 经过这种手术的患者在随访期间表现出令人鼓舞的营养恢复和令人满意的临床结果.
- 可能需要进一步的研究来优化MMIHS的手术技术和长期管理策略.
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