儿科患者的组织扩张:一个23年的单一机构经验
Isabel A Ryan1, Mattia A Mahmoud1, Philip D Tolley1
1Division of Plastic, Reconstructive, and Oral Surgery, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
概括
儿科组织扩张对于重建是有效的,但存在风险. 重复扩张,合并双胞胎病例和伤口重建预测并发症,而早期安置可能会增加扩张率.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科手术 儿科手术
- 重建性手术是一种重建性手术.
背景情况:
- 组织扩张广泛用于儿科软组织重建.
- 儿童组织扩张的利用和结果各不相同.
- 描述23年来机构使用的特点对于理解结果至关重要.
研究的目的:
- 分析23年来儿童患者使用组织扩展剂的情况.
- 通过解剖位置,指示和重复扩展来分层临床结果.
- 为了确定并发症和过早解剖的预测因素.
主要方法:
- 对接受组织扩展器安置 (2001-2024) 的儿科患者的回顾性审查.
- 数据收集包括人口统计,操作细节和结果.
- 单变量和多变量逻辑回归分析了并发症和解释的预测因素.
主要成果:
- 分析了使用519种组织扩展剂的211名患者.
- 先天性,痕和骨是常见的迹象.
- 成功的重建是93.4%;并发症发生在24.5%,其中16%需要过早解剖.
结论:
- 儿科组织扩张是有效的,但涉及患者和家庭的风险.
- 重复扩张,联合双胞胎的使用和伤口重建增加了并发症的风险.
- 在3.5岁之前安置可能会增加过早爆炸的可能性.
相关概念视频
01:30Specialized Care Centers and Settings-II
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
01:18Healthcare Agencies I
Healthcare agencies provide healthcare services to people. In the United States, voluntary agencies are often non-profit centers sponsored by donations, grants, or fundraisers. One such organization is Meals on Wheels, which provides meals to the elderly and homebound. The American Heart Association and the American Lung Association are other non-profit community organizations. Doctors and nurses are frequently active members of these organizations, which offer health checks and educational...