[患有乳轴压缩综合征的儿童的手术治疗]
R A Zainulabidov1, A Yu Razumovsky1,2, Z B Mitupov1,2
1Children's City Clinical Hospital named after N.F. Filatov, Moscow, Russia.
Khirurgiia
|June 2, 2025
概括
腹腔镜解压是有效的儿童腹腔轴压缩综合征 (CACS). 早期诊断和手术干预改善了患者的结果,并发症最小.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 血管外科 血管外科
背景情况:
- 儿童的腹轴压缩综合征 (CACS) 与腹部疼痛有关.
- 准确的诊断依赖于临床评估和先进的成像技术的结合.
研究的目的:
- 确定儿科CACS的外科治疗指示.
- 评估腹腔镜减压治疗儿童中CACS的疗效和安全性.
- 确定与手术干预相关的潜在并发症和风险.
主要方法:
- 在2015-2023年期间对148名为CACS治疗的儿科患者 (4-17岁) 进行了回顾性分析.
- 诊断方法包括体检,多普勒超声波,内镜超声波和血管造影.
- 所有患者都经历了腹腔镜腹轴减压,有92名患者可供长期随访.
主要成果:
- CACS的主要原因是中枢弧形带和神经纤维组织的压缩.
- 平均手术时间为55分钟,血液损失最小 (5-30毫升).
- 两次转换为开放性手术;患者在康复后被送出院.
结论:
- 在儿童中CACS手术治疗的确定的指示.
- 腹腔镜减压提供了一个成功和有益的治疗选择.
- 早期诊断和及时的手术干预对于儿科CACS的良好结果至关重要.
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