标准化功能评估在女性低直肠形,以确定需要手术的需求
1Department of Paediatric Surgery, Specialist Neonatal and Paediatric Surgery, Great Ormond Street Hospital WC1N3JH London, UK.
Journal of pediatric surgery
|March 12, 2025
概括
对于前的女孩,建议采取保守的方法,如果门的功能充足,关关闭门. 对于较小的孔隙和缺失关功能,通常需要手术,在保守管理的病例中不需要进一步的手术.
科学领域:
- 儿科手术 儿科手术
- 结肠直肠手术 结肠直肠手术
- 儿科胃肠病学 儿科胃肠病学
背景情况:
- 对于女性前的外科治疗的指示是有争议的.
- 这项研究分析了临床结果,比较了手术和保守治疗方法.
- 建议以功能方面为重点进行标准化评估,以指导手术决策.
研究的目的:
- 为了评估儿科患者前前的临床结果.
- 根据功能评估来确定手术干预的必要性.
- 为了比较手术和保守治疗组之间的结果.
主要方法:
- 在麻醉下检查的24名异常门的女孩的回顾性图表审查 (EUA).
- 分析门大小 (Hegar扩张器) 和道功能 (关闭门的能力).
- 手术和非手术组之间的结果与长期随访的比较.
主要成果:
- 需要手术的儿童比非手术病例 (平均年龄12.5个月) 年轻 (平均年龄6.5个月).
- 非手术病例的门大小显著增加 (Hegar的平均数为13) 并出现关闭 (56%).
- 没有患者进行保守管理,需要进一步的手术干预.
结论:
- 对前的手术适用于较小的孔径和缺失关功能.
- 对于功能充足的门和良好的关节调度,建议采取保守的方法.
- 便秘是手术和非手术组的潜在问题,需要家庭咨询.
更多相关视频
09:44Functional Assessment of Intestinal Motility and Gut Wall Inflammation in Rodents: Analyses in a Standardized Model of Intestinal Manipulation
Published on: September 11, 2012
22.0K
07:41Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
9.3K
相关概念视频
Assessment of the Rectum and Anus
130
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
130
Inflammatory Bowel Disease V: Surgical Management
80
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
80
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
104
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
104
