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在修复直肠形后,尽量减少儿科患者的差异
Leigh Selesner1, Ryan Bigej2,3, Sara Alturky2
1Depart of Surgery, Oregon Health & Science University, Portland, OR, USA. selesner@ohsu.edu.
Pediatric surgery international
|May 29, 2025
概括
在两个医院中,对直肠形 (ARM) 手术的新外科手术协议是可行的,保持了短期停留 (LOS) 和少数并发症. 协议的遵守程度适度,并指出需要改进的领域.
科学领域:
- 儿科外科手术 儿科外科手术
- 手术方案 手术方案
- 阴道直肠形 阴道直肠形
背景情况:
- 阳肠形 (ARM) 需要复杂的术后管理.
- 护理的标准化可以改善儿科外科条件的结果.
- 术后护理的变化可能会影响患者的治疗结果和资源利用.
研究的目的:
- 评估用于直肠形 (ARM) 手术的标准化外科手术期间方案的可行性和影响.
- 评估并发症,停留时间 (LOS) 和实施后的协议遵守情况.
- 为了比较协议队列和历史控制队列之间的结果.
主要方法:
- 在两个儿科三级医院中实施了ARM的标准化外科手术期间的协议.
- 来自24个月的协议队列的数据与24个月的控制队列的数据进行了比较.
- 评估的结果包括人口统计,合规性,并发症和逗留时间 (LOS).
主要成果:
- 包括45名患者;89%完成了VACTERL工作.
- 在对照组和协议组中,中位后术LOS为2天 (p=0.80).
- 没有观察到总LOS或伤口感染的显著差异;伤口脱光发生在3名患者中.
- 协议遵守率为53%,其中包括饮食,VACTERL治疗和伤口护理方面的偏差.
结论:
- 一个标准化的ARM外科手术协议是可行的,可以在各个机构实施.
- 该方案保持了优秀的结果,包括短暂的LOS和最小的并发症.
- 需要进一步改进以改善协议的合规性,尽管已经证明了可行性和积极的结果.
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