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在出生时体重非常低的婴儿中,需要进行外科手术的与美相关的阴茎的预测性风险因素

Yoshinobu Tsuno¹, Takeshi Kumagai¹, Mitsuhiko Riko¹

¹Department of Pediatrics, Wakayama Medical University, 811-1 Kimiidera, Wakayama, 641-8509, Japan.

Pediatrics and neonatology

|May 15, 2025

概括

在非常低出生体重的婴儿 (VLBWI) 中,与麦科尼相关的内脏 (MRI) 通常需要手术. 在X射线上MRI指数为0.205或更高的MRI指数准确地预测了这些婴儿需要手术干预的需要.

科学领域:

新生儿科学新生儿科学
儿科手术儿科手术
胃肠病学胃肠病学

背景情况:

与美相关的内脏 (MRI) 是非常低出生体重婴儿 (VLBWI) 患病的重要原因.
未经治疗的MRI可能导致肠道穿孔,并带来不良预后.
目前的治疗策略包括医疗和手术干预,但手术的风险因素尚未确定.

研究的目的:

确定预测MRI诊断的VLBWI患者需要手术的风险因素.
为了比较医学治疗的VLBWI与MRI手术治疗之间的临床特征.

主要方法:

在2014年1月至2022年12月期间入院的VLBWI与MRI的回顾性审查.
婴儿被分为医学治疗和手术组.
"MRI指数" (最大肠直径与最大腹部横直径的比) 是从不同时间点的X射线中计算出来的. 用接收器操作特征 (ROC) 曲线分析来确定手术的预测截止值.

主要成果:

在34名接受MRI的VLBWI中,9人接受了手术,25人接受了保守的医学治疗.
与医疗组相比,手术组在0日的MRI指数值和最大MRI指数显著更高 (p=0.036和p<0.001).
一个MRI指数切线0.205预测了92%的灵敏度和78%的特异性 (AUC=0.900) 的手术. 手术组还有更长的时间进入肠道养,更长的住院时间,以及更高的败血症发病率.

结论:

磁力共振成像指数≥0.205是一个显著的预测器的需要进行手术干预的VLBWI与美相关的.
该指数可以帮助早期识别和管理高风险婴儿的决策.

关键词:

腹部X射线图是指腹部的X射线图.肠道阻塞肠道阻塞拉皮切除术 (Laparotomy) 是一个切除术.与麦科尼相关的阴.非常低出生体重的婴儿婴儿

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