关联年龄和结果的儿童经历了带绳释放:一项全国性的研究
Matthew K McIntyre1, Huanwen Chen2,3, Gary Nesbit4
1Department of Neurological Surgery, Oregon Health and Science University, Portland, Oregon, USA.
Operative neurosurgery (Hagerstown, Md.)
|September 23, 2025
概括
带绳释放 (TCR) 具有较低的外科手术风险,但婴儿面临更高的长期并发症和再入院. 考虑推迟无症状婴儿的手术,直到1岁以后.
科学领域:
- 神经外科 神经外科
- 儿科手术 儿科手术
- 脊柱外科手术 脊柱外科手术
背景情况:
- 人们还在讨论绑带带综合征 (TCS) 治疗时间,特别是在无症状儿童中.
- 带释放 (TCR) 的最佳年龄仍然不清楚.
研究的目的:
- 为了比较不同年龄组的儿科患者TCR的短期和长期结果.
- 评估年龄对经过TCR的术前和术后并发症的影响.
主要方法:
- 使用儿童住院患者数据库 (KID) 和全国再接收数据库 (2016-2022) 进行回顾性队列分析.
- 包括儿童患者 (<18岁) 接受初级TCS的选择性TCR.
- 患者分层分为婴儿 (<1岁),幼儿 (1-2岁) 和学前班+ (3-17岁).
- 分析了术后结果,并发症和180天的非选择性再入院,使用时间到事件分析.
主要成果:
- 6821名儿童符合纳入标准; 76.8%无症状.
- 术后并发症的发生率很低 (5.5%),并且在各年龄组中相似.
- 与老年儿童相比,婴幼儿的180天非选择性再入院率更高.
- 婴儿在180天内显著增加了手术前后并发症.
结论:
- 在儿童中,TCR显示了低的术后并发症率.
- 接受TCR的婴儿面临长期并发症和再入院的风险增加.
- 建议仔细选择患者,并在一岁以上的无症状婴儿中推迟TCR的潜在延迟.
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