儿童急性尾炎的穿腹腔镜辅助尾切除术:尾茎倒置不需要 - 一项回顾性研究
Stella Mazzarolo1, Alessandro Boscarelli2, Manuela Giangreco3
1Faculty of Medicine and Surgery, University of Trieste, Trieste, Italy.
Pediatric surgery international
|June 26, 2025
概括
简单的尾茎绑定与儿童急性尾炎的逆转一样有效. 这种方法不会增加手术时间,住院时间或并发症,提供一种安全的替代方案.
科学领域:
- 儿科手术 儿科手术
- 手术技巧 手术技巧
- 附录 管理 附录 管理
背景情况:
- 急性尾炎是儿童常见的手术紧急情况.
- 穿腹腔镜辅助尾切除术是一种标准的微创方法.
- 对尾茎的管理是一个关键考虑因素.
研究的目的:
- 为了比较尾茎倒置与简单的绑定在儿科患者的急性尾炎的腹腔镜尾切除过程中.
- 评估茎管理对手术时间,住院时间和术后并发症的影响.
主要方法:
- 在2018年12月至2024年1月期间,对278名儿科患者 (<18岁) 进行了急性尾炎治疗.
- 对患者进行尾茎倒置 (n=208) 和简单结 (n=70) 的结局进行比较.
- 对手术持续时间,住院时间和术后并发症率的分析.
主要成果:
- 两组之间没有性别,年龄,体重或相关病理方面的显著差异.
- 简单的绑定在不复杂的 (78.6%) 和复杂的尾炎病例 (20%) 中都有效.
- 在倒和简单结之间,没有发现住院时间 (P=0.21) 或术后并发症 (P=0.15) 的显著差异.
结论:
- 简单的尾茎绑定是一种安全有效的方法,用于儿科急性尾炎.
- 这种技术不会影响治疗的有效性.
- 简单的绑定不会导致术后并发症增加或延长住院时间.
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