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儿科西格体卷发症的内镜和直肠管管理:一系列病例
Sapna Khemka1,2, Micah Morris1,2, Kevin Watson1
1Akron Children's Hospital Akron Ohio USA.
结肠扭曲 (sigmoid volvulus) 在儿童中很罕见,但可能导致严重的并发症. 内镜扭曲和直肠解压管为稳定患有这种疾病的儿科患者提供了最少的侵入性方法.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 结肠直肠手术 结肠直肠手术
背景情况:
- 西格体卷发症涉及西格体结肠在其中腔上扭曲.
- 在儿科患者中,这是一种不常见的诊断.
- 卷可以导致关键并发症,如肠道阻塞,穿孔,亡和败血症.
研究的目的:
- 为了呈现三例西格体卷发症的儿科病例.
- 为了突出内学扭曲和直肠解压管放置的有效性.
- 为了支持对非复杂的sigmoid volvulus的sigmoidoscopy的使用.
主要方法:
- 治疗了3名被诊断患有西格体卷发症的儿科患者.
- 所有患者都进行了即时内镜扭曲.
- 放置了直肠去压管以进行初始稳定.
主要成果:
- 这三名患者都稳定了内镜扭曲和减压.
- 两名患者后来接受了冗余西格结肠的手术切除.
- 内镜方法促进了最初的患者管理.
结论:
- 内镜扭曲是一种可行的治疗无并发的儿科西格体卷发症.
- 直肠去压管的放置有助于初始稳定.
- 最少侵入性技术可以导致儿科西格体卷发症患者的积极结果.
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