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腹腔镜辅助修改的Soave手术后的早期术后并发症 希尔施普朗格病:发生率,克拉维恩-丁多分类和风险因素分析
Xianhui Shang1,2, Renbiao Huang3, Yuanmei Liu1,2
1Department of Pediatric Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China.
PloS one
|September 22, 2025
概括
laparoscopic Soave手术后的早期并发症 对于Hirschsprung的早期并发症
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 外科手术的结果
背景情况:
- 赫施普朗氏病 (HSCR) 是一种先天性疾病,需要手术干预.
- 腹腔镜辅助改性Soave手术是HSCR的常见手术方法.
- 了解早期的术后并发症对于患者管理至关重要.
研究的目的:
- 为了确定早期术后并发症的发生率和严重程度 (在腹腔镜辅助的HSCR修改后的30天内).
- 确定与这些早期并发症相关的因素.
主要方法:
- 对112名接受了腹腔镜辅助的HSCR修饰Soave手术的患者 (2010-2020年) 的回顾性分析.
- 收集的数据包括患者人口统计,临床因素和术后并发症.
- 用克拉维恩 - 丁多系统对并发症进行分级;单变量和多变量逻辑回归被用于分析.
主要成果:
- 17.0%的患者经历了早期的术后并发症,其中与希尔施普朗相关的肠球炎 (HAEC) 是最常见的 (45.5%).
- 并发症包括HAEC,伤口感染,肠道阻塞和呼吸衰竭.
- 术前静脉瘤和低albuminemia被确定为并发症的独立风险因素 (P<0.05).
结论:
- 早期的术后并发症在腹腔镜辅助的HSCR改性Soave手术后相对较为常见.
- 手术前的低albuminemia和口腔形成是显著的危险因素.
- 术后营养支持和风险分层可能有助于减轻并发症.
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