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在儿童中反复发生的阳性内:一个范围的审查
Salvatore Arena1, Fabiola Cassaro1, Giulia Maisano1
1Department of Human Pathology of Adult and Childhood "Gaetano Barresi", University of Messina, Messina, Italy.
International journal of pediatrics
|April 2, 2025
概括
在儿童中,反复发生的静脉静脉接收是常见的,超过85%的儿童成功地进行了非手术治疗. 复发性内肠置的手术仅适用于疑似病态前沿点或多次发作.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床研究 临床研究
背景情况:
- 肠接是儿童肠道阻塞的主要原因.
- 复发性静脉塞 (RI) 缺乏经过验证的治疗算法.
- 对于儿科RI的最佳管理策略需要进一步定义.
研究的目的:
- 评估儿童中复发性内肠接 (RI) 的发生率.
- 为了确定RI的外科干预和病理领先点 (PLP) 率.
- 确定儿科RI最合适的管理方法.
主要方法:
- 系统性文献综述英语写的儿科内肠受试研究.
- 纳入标准不包括病例报告,成人/混合病例,特定的内肠异常类型和元分析.
- 数据提取的重点是RI发生率,非手术减少尝试,手术率和PLP识别.
主要成果:
- 23篇文章分析了26,731例内异常病例,其中有3164例 (11.8%) 复发.
- 据报道,RI的中位数为5次非手术减少尝试.
- 12.1%的RI患者接受了手术,整体PLP率为3.95%.
结论:
- 病理领先点 (PLP) 很少被发现,并没有明确与内置复发相关.
- 超过85%的复发性肠异常病例取得了成功的非手术治疗.
- 儿科复发性静脉管管理反映了主要病例;在与家长讨论后,对疑似PLP或持续复发的情况进行手术.
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