呼吸道内镜检查在患有重复性形的儿童中的发现
Jane Y Tong1, Charlyn Gomez1, Nicholas Randolph1
1Department of Otorhinolaryngology - Head and Neck Surgery, University of Maryland School of Medicine, Baltimore, Maryland, USA.
概括
微喉腔镜和支气管镜 (MLB) 对于复发性形很少显示出显著的小结节病理. 手术前的患者特征可能有助于识别可能受益于手术干预的儿童.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科呼吸道疾病 儿科呼吸道疾病
- 诊断内镜检查 诊断内镜检查
背景情况:
- 经常出现的痛通常会促使微喉镜和支气管镜 (MLB) 检测出下部问题.
- 在这种情况下,MLB的诊断收益率是可变的,需要进一步调查.
- 了解内镜气道评估的实用性对于临床决策至关重要.
研究的目的:
- 确定内镜呼吸道评估在患有复发性的儿童中的有用性.
- 确定改变管理或需要干预的积极发现的发生率.
- 探索与异常发现相关的因素.
主要方法:
- 对所有针对复发性瘤进行的微喉腔镜和支气管镜检查的回顾性审查.
- 数据来自三位儿科耳鼻喉科医生在高等保健学术儿童医院收集的数据.
- 研究期间:2019年1月1日至2023年12月31日.
主要成果:
- 在儿童 (平均年龄为4.3岁) 中,进行了62次MLB治疗复发性形.
- 33.9%的患者有异常发现,但只有4.8%的患者患有小肠狭窄症 (I或II级).
- 早产,年龄较小,输管史和住院咨询与异常的MLB发现有关.
结论:
- 在患有重复性形的儿童中,微喉腔镜和支气管镜检查显示显著的小结节病理的发病率很低.
- 特定的患者特征可以预测那些可能从外科干预中受益的人.
- 医疗保健的差异可能会影响这些程序的转诊模式.
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