无并发性急性尾炎非手术治疗的有效性:在资源有限的环境中初步经验
Ana Gabriela Barría Rodríguez1, Emilio Romero2,3, Alan Guillen4
1Pediatic Surgery Department, Hospital de Especialidades Pediátricas Omar Torrijos Herrera, Panama, Panama drabarriarodriguez@gmail.com.
BMJ paediatrics open
|March 3, 2025
概括
对急性尾炎的非手术治疗在资源有限的环境中显示出希望. 这项研究发现,尽管医院面临挑战,儿童非手术治疗的初始成功率很高.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 公共卫生 公共卫生
背景情况:
- 尾切除术是急性尾炎的标准.
- 非操作性管理 (NOM) 是一个新兴的替代方案.
- 资源有限的医院面临着实施NOM.的挑战.
研究的目的:
- 评估在资源有限的医院中对急性尾炎进行非手术治疗的可行性和初始结果.
- 评估接受NOM的儿童的成功率和治疗失败率.
主要方法:
- 对24名没有并发症的急性尾炎的儿童进行了回顾性评估,这些儿童接受了非手术治疗.
- 在2022年7月至2023年12月期间收集的数据.
- 随访期为12个月.
主要成果:
- 100%的初始成功率非操作管理.
- 在12个月内观察到的治疗失败率为12.5% (24例中有3例).
- 在接受治疗的儿童中平等的性别分配.
结论:
- 非手术治疗是无并发急性尾炎的可行和有效选择,即使在资源有限的环境中也是如此.
- 尽管面临员工和床位占用等挑战,但成功实施是可能的.
- 需要进一步的研究来优化NOM协议在不同的医疗环境.
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