患有腹的穿孔性尾炎的间隔尾切除术中手术困难的危险因素 在儿童中
Keisuke Suzuki1, Chizuka Seki2, Tsubasa Goshima2
1Department of Pediatric Surgery, Saitama Medical University Hospital, 38 Morohongo, Moroyama-cho, Iruma-gun, Saitama, 350-0495, Japan. suzuki25@saitama-med.ac.jp.
Pediatric surgery international
|August 19, 2025
概括
预测间隔尾切除术中穿孔尾炎与的手术困难是可能的. 老年,较大的,更长的住院时间是增加手术复杂性的关键指标.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- 附录 管理 附录 管理
背景情况:
- 有的穿孔性尾炎通常需要间歇性尾切除术.
- 预测手术困难对于患者管理和资源分配至关重要.
研究的目的:
- 为了确定间歇性尾切除术期间手术困难的预测因素,用于儿科尾.
- 建立预测复杂外科病例的标准.
主要方法:
- 对61名患有尾的儿童进行间隔尾切除术 (2012-2024) 的回顾性审查.
- 不复杂和困难的手术 (手术时间>2小时或额外的托卡尔) 之间的临床数据比较.
- 多变量和ROC分析以确定风险因素和预测截止值.
主要成果:
- 艰难的手术与年龄更大 (11.5岁对比8.8岁),身高更高,体重更大,腹更大,初始住院时间更长有关.
- 多变量分析表明,年龄较大,腹直径较大,初始住院时间较长是造成手术困难的风险因素.
- 对于预测复杂的尾切除术,ROC分析建议切断值:年龄10.4年,腹直径5.8厘米,住院时间16.5天.
结论:
- 年龄较大,腹大小较大,以及手术前的长期住院时间与间歇性尾切除术中尾的手术难度增加有关.
- 这些因素可以帮助进行手术前风险评估和手术规划.
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