儿童气管外科手术:说明,并发症和结果
Martina Monti1,2, Vittorio Guerriero3, Roberto D'Agostino4
1Pediatric Surgery Unit, IRCCS Istituto Giannina Gaslini, Genoa, Italy - martinamonti3194@gmail.com.
Minerva pediatrics
|July 2, 2025
概括
儿科气管外科手术是复杂的,涉及各种先天性和获得性疾病的程序. 多学科的方法通常会产生令人满意的结果,大多数患者能够实现脱管和适当的气道口径.
科学领域:
- 儿科手术 儿科手术
- 胸部外科手术 胸部外科手术
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 儿科气管外科手术包括复杂而罕见的手术.
- 这项研究报告了在一个专门的中心的手术经验,该中心管理着喉外性形.
研究的目的:
- 分析小儿气管外科手术的外科经验和结果.
- 评估多学科方法在管理复杂的气道状况方面的有效性.
主要方法:
- 从2009年1月到2023年9月接受气管外科手术的122名儿科患者的回顾性分析.
- 不包括内镜手术和非重建性气管切除术.
- 评估诊断,并发症,手术,气管切除术的要求,并发症,死亡率和脱管结局.
主要成果:
- 122名患者 (平均年龄为2.61岁) 因先天性 (59.8%) 或获得的 (40.2%) 气管病理而接受手术.
- 常见的手术包括喉外重建 (27%) 和气管切除-解剖 (16.4%).
- 死亡率为6.1% (一例手术死亡);75.4%的患者通过适当的气道口径实现了脱.
结论:
- 儿童的气管外科手术有不同的指示,需要多学科的团队方法.
- 尽管复杂性和潜在的严重并发症,小儿气管外科手术通常导致令人满意的结果.
- 协调的团队努力对于管理这些罕见且具有挑战性的儿科气道疾病至关重要.
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