儿童尾炎:诊断考虑和术后影响
Kiran Mahadevappa1, J Asha1, Rajkiran S Raju1
1Pediatric Surgery, St. John's Medical College Hospital, Bangalore, IND.
Cureus
|September 18, 2025
概括
尾炎,尾中的化沉积物,显著增加了儿童复杂尾炎的风险,导致更高的穿孔和 rate. 术内检测对于有效管理这些病例至关重要.
科学领域:
- 儿科手术 儿科手术
- 诊断成像 诊断成像 诊断成像
- 胃肠道健康 胃肠道健康
背景情况:
- 尾炎是尾内化的沉积物,经常导致儿科患者复杂的尾炎.
- 它们的存在与尾孔隙,腹形成的风险增加有关,需要紧急的手术干预.
- 准确的手术前和手术内检测尾炎对于指导手术决策和改善患者结果至关重要.
研究的目的:
- 评估急性尾炎儿童尾炎的成像方法的诊断准确性.
- 评估用于尾炎与尾炎相关的尾炎的手术管理策略.
- 分析患有尾炎的儿科患者的术后结果.
主要方法:
- 对198名经过尾切除的儿科患者 (<18岁) 进行了回顾性图表审查.
- 收集的数据包括人口统计,超声波 (USG) 和CT成像发现,手术内观察和术后结果.
- 在患有尾炎和没有尾炎的患者之间进行了比较,以确定相关的并发症和结果.
主要成果:
- 尾炎在手术前通过超声波检测发现了15.2%,在手术后发现了44.9%.
- 患有尾炎的儿童的穿孔率 (74.2%对14.7%) 和形成率 (91%对17.4%) 显着更高.
- 在患有尾炎的儿童中,术后伤口感染率也更高 (33.7%vs9.2%). 腹腔镜尾切除术是有效的,其转化率为6.1%.
结论:
- 尾炎是儿童复杂尾炎的重要危险因素.
- 超声波对检测尾炎的敏感性有限;手术内识别与更多的并发症有关.
- 腹腔镜尾切除术是一种安全有效的治疗尾炎,包括尾炎.
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