儿童柱状鼻疾病:不同年龄组的复发率与成年人相比较
Dietrich Doll1, Susanne Haas2,3, Ida Kaad Faurschou2,3,4
1Klinik für Proktochirurgie und Pilonidalsinus, St. Marienhospital, Vechta, Germany.
Surgery open science
|February 24, 2025
概括
儿童柱状鼻疾病在儿童中复发的频率明显高于成年人,近一半的复发发生在五年内. 需要进一步的研究,以了解手术方法,以获得更好的儿科护理.
科学领域:
- 儿科手术 儿科手术
- 皮肤病学 皮肤病学
- 外科手术的结果
背景情况:
- 在青春期前的儿童中,柱状鼻疾病并不常见.
- 对于儿科pilonidal鼻的最佳治疗方法尚不清楚.
- 儿童柱状鼻疾病的复发率高于成年人.
研究的目的:
- 为了调查儿科pilonidal鼻疾病的复发率.
- 为了比较儿科和成人患者之间的复发率.
- 分析不同外科手术方法的复发率.
主要方法:
- 对1217项研究进行了系统审查.
- 包括134,663名患者,确定了5807名儿科患者.
- 成人和儿科队列之间的复发率的比较.
主要成果:
- 儿科患者的5年复发率 (46%) 与成人 (11.5%) 相比较高.
- 16-18岁的青少年比年轻的孩子更早地经历复发.
- 46.4%的儿科复发发生在手术后的前五年内.
结论:
- 儿科的柱状鼻疾病有一个不同的,比成年人更具侵略性的复发模式.
- 对于儿科患者来说,在五年内复发的可能性要大得多.
- 有限的证据需要对改善儿科护理的手术方法进行进一步的研究.
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