在儿童中手术治疗气管支柱炎症:基于大病例系列的指示,结果和技术
F Lena1, F Santoro2, E Ribera2
1Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy; Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics and Maternal-Child Sciences, University of Genoa, Genoa, Italy.
Journal of pediatric surgery
|June 13, 2025
概括
使用前腔大气 (AA) 和后腔大气 (PT) 的儿科气管支柱骨瘤手术 (TBM) 显示出高效率. 在儿童中,AA和PT都是安全和补充性手术技术,用于治疗TBM.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 呼吸系统医学 呼吸系统医学
背景情况:
- 儿科气管支神经 (TBM) 呈现出各种症状,需要进行手术干预.
- 目前关于TBM的外科指示和手术技术的共识有限.
- 肌瘤手术的临床结果,包括前侧大气 (AA) 和后侧气管 (PT),需要进一步阐明.
研究的目的:
- 评估TBM的外科指示和结果.
- 分析大量儿科队列中使用的外科手术技术.
- 评估AA和PT的安全性和有效性.
主要方法:
- 自2012年以来,对143名接受TBM手术 (AA或PT) 的儿科患者进行了回顾性分析.
- 术前评估包括动态内镜评估和血管CT.
- 通过对临床和内镜检查结果的多学科团队评估来确定手术指示.
- 通过改善咳,,呼吸道感染,运动耐受性和消化不良等症状来评估结果.
主要成果:
- 手术指示是基于结合的临床和内镜发现.
- 在132名患者中进行了前侧气管切除术 (AA),18名患者进行了后侧气管切除术 (PT).
- 并发症和住院率是可比的:18.9%和AA的8天,16.7%和PT的8天.
- 在AA后的89.1%和PT后的93.8%观察到临床改善.
- 在AA后的54.6%和PT后的50%中,症状完全消失.
结论:
- 在儿童中,TBM的手术指示是通过整合临床和内镜数据来有效确定的.
- 多学科团队评估对于最佳的TBM患者管理至关重要.
- 前侧大气管切除术 (AA) 和后侧气管切除术 (PT) 是对儿科TBM的安全,有效和互补的外科选择.
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