父母满意度和长期标准化结果评估经过皮肤内镜 vs 腹腔镜胃口术在儿童中
Thomas Pattyn1, Matthias Verbesselt2, Kirsten Das3
1Beeldvorming & Pathologie, UZ Leuven, Leuven, Belgium.
Acta chirurgica Belgica
|June 17, 2025
概括
婴儿的穿皮内镜胃口术 (PEG) 和腹腔镜胃口术 (LG) 的一般并发症风险较低. 与PEG相比, laparoscopic gastrostomy (LG) 显示,在取下按后,胃皮质囊的风险较高.
科学领域:
- 儿科外科手术 儿科外科手术
- 胃肠病学 胃肠病学
- 医疗器械比较 医疗器械比较
背景情况:
- 胃口管对于婴儿营养至关重要.
- 穿皮内镜胃口术 (PEG) 和腹腔镜胃口术 (LG) 是常见的放置方法.
- 对比并发症风险和家长满意度对于最佳的患者护理至关重要.
研究的目的:
- 为了比较婴儿PEG与LG的并发症风险.
- 使用这两种技术来评估胃口安置后的家长满意度.
- 用一个验证的分级系统来评估并发症.
主要方法:
- 对102名接受胃口切除术的婴儿进行了回顾性分析.
- 使用克拉维恩 - 丁多 (CD) 系统分级的并发症 (早期与晚期).
- 通过0-10数值评分尺度前性评估家长满意度.
主要成果:
- 局部并发症比一般并发症更频繁.
- laparoscopic gastrostomy (LG) 具有显著更高的胃皮囊风险,需要在切除后进行手术 (53.1%对26.7%,p=0.003).
- 父母的满意度很高,在PEG (8.3) 和LG (7.9) 组之间是可比的.
结论:
- 虽然整体并发症风险较低,但在胃口切除术放置后,局部并发症很常见.
- PEG显示出更严重的长期局部并发症的趋势,而LG则在切除后存在更高的囊形成风险.
- 无论是PEG还是LG都提供了高的家长满意度,但选择可能取决于尽量减少特定的并发症风险.
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