儿童胃口切除:一个为期5年的单一三级中心体验
Iulia Florentina Ţincu1,2, Bianca Teodora Chenescu2, Gabriel Cristian Drăgan2
1Faculty of Medicine, Pediatrics Department, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
Medicina (Kaunas, Lithuania)
|March 27, 2025
概括
在儿童中, laparoscopic gastrostomy tube (GT) 放置和皮肤内镜胃口 (PEG) 显示出低的并发症率和高的护理人员满意度. 当与抗逆流体手术相结合时,可能更喜欢 laparoscopic GT.
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:
- 患有复杂疾病的儿科患者通常需要通过胃口管 (GT) 提供肠道营养支持.
- 最佳的GT安置技术,包括腹腔镜胃口术和皮肤内镜胃口术 (PEG),也在讨论中.
- 同时进行的反流体手术对GT结局的影响需要进一步评估.
研究的目的:
- 为了比较不同GT安置技术在儿科患者的结果.
- 评估同时进行的抗逆流体手术对GT相关并发症和护理人员满意度的影响.
- 评估腹腔镜与PEG在儿科辅助养中的安全性和有效性.
主要方法:
- 71名接受GT安置的儿科患者 (2019-2024) 的回顾性分析.
- 患者被分为两组:有 (组1) 和没有 (组2) 同时进行反流动手术.
- 对这两种技术,主要是腹腔镜GT,评估了并发症和护理人员满意度 (SAGA-8问卷).
主要成果:
- 腹腔镜GT是主要的技术 (97%),只有两个PEG放置.
- 两组之间并发症 (补充,感染) 发生率没有显著差异.
- 接受反流体手术的患者住院时间较长;护理人员满意度高 (84.5%),受先前吸气性肺炎和饮食类型的影响.
结论:
- 腹腔镜和PEG胃口管安置在儿科患者中都是安全有效的.
- 腹腔镜胃口术可能是儿童需要同时进行反流体手术的首选方法.
- 护理人员的高满意度强调了胃口养对生活质量的积极影响.
关键词:
在SAGA-8中,它是最重要的.消化器胃口术 (gastrostomy) 是一种消化器胃口术.laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy laparoscopic-assisted gastrostomy 胃口修复手术的方法包括: 胃口修复手术
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