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在三级中心对儿科复杂尾炎与并发的 inguinal 的腹腔镜管理的回顾性分析

Shuan-Ling Li¹, Zong-Han Li¹, Fang-Nan Xie¹

¹Department of Emergency Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.

Translational pediatrics

|May 19, 2025

概括

同时进行腹腔镜手术治疗儿科尾炎和 inguinal 是安全有效的,即使在严重的感染. 与分阶段程序相比,这种方法可以减少住院和抗生素的使用.

科学领域:

儿科手术儿科手术
腹腔镜外科手术腹腔镜外科手术
胃肠道手术胃肠道手术

背景情况:

儿童急性尾炎和 inguinal 的同时手术治疗是有争议的,特别是在腹腔内感染.
评估同时进行腹腔镜手术对这些综合疾病的安全性和有效性至关重要.

研究的目的:

评估儿科患者同时进行腹腔镜手术治疗复杂的尾炎和同时发生的 inguinal hernia 的安全性和有效性.
为了比较同时和分阶段的外科手术方法之间的结果.

主要方法:

从2016年1月到2022年12月,对患有复杂尾炎和 inguinal hernia 的儿科患者进行了回顾性评估.
患者被分为同时修复和两阶段手术组.
对人口统计数据,术后发现和后续结果的分析.

主要成果:

包括40名患者;29名同时治疗组,11名双阶段治疗组.
同时组住院时间较短,术后抗生素使用较少 (P=0.056和P=0.04,分别).
在同时治疗组中没有椎的复发;在11-66个月的随访中,在两阶段治疗组中出现了一种并发症.

结论:

对儿科尾炎和 inguinal 的同时进行腹腔镜治疗是可行的和安全的.
这种方法即使在出现严重污染的复杂尾炎的情况下也是有效的.
同时治疗方法在减少住院时间和抗生素治疗时间方面具有潜在的好处.

关键词:

附录是指一个附录.孩子们的孩子们的孩子们的孩子们同时的竞争对手.inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH) inguinal hernia (IH)腹腔镜检查是指腹腔镜检查.

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