儿科斯皮格利安 Hernia 和斯皮格利安-Cryptorchidism 综合症:一个综合性审查
Javier Arredondo Montero1, María Rico-Jiménez2
1Pediatric Surgery Department, Complejo Asistencial Universitario de León, 24008 León, Castilla y León, Spain.
Children (Basel, Switzerland)
|September 27, 2025
概括
斯皮格尔 (SH) 在儿童中很少见,主要影响男性,并呈现为先天性或获得的形式. 童年早期增加了监禁的风险,手术提供了有利的结果.
科学领域:
- 儿科手术 儿科手术
- 腹壁缺陷 腹壁缺陷 腹壁缺陷
- 椎间板研究 椎间板研究
背景情况:
- 斯皮格尔 (SH) 是一种不常见的在斯皮格尔半月线上出现的神经缺陷.
- 关于儿科SH的文献特别稀缺,需要进行全面的审查.
研究的目的:
- 进行一项全面的文献综述和对儿科斯皮格尔病例的综合分析.
- 描述儿科SH的特征,临床表型和管理结果.
主要方法:
- 对符合条件的研究进行初级医学文献资料数据库的系统搜索.
- 使用描述性统计数据和适当的比较测试 (克鲁斯卡尔-瓦利斯,曼-惠特尼U,费舍尔的确切),对已公布的案例级数据进行了聚合分析.
- 使用斯皮尔曼,皮尔森和克拉梅尔的V进行的相关性和关联分析.
主要成果:
- 分析了123个儿科病例 (0-21岁) 来自82个出版物; 86.2%是男性.
- 确定了两种表型:先天性 (通常有未下降的丸) 和获得性 (通常是创伤性).
- 在12.2%的病例中发生了结/结,较年轻儿童的风险更高 (p=0.02). 在77.2%的患者中,手术纠正带来了良好的结果.
结论:
- 儿科斯皮格利亚主要影响男性,并呈现出不同的先天性和获得性形式.
- 婴儿和幼儿面临更高的入狱风险.
- 手术是主要的治疗方法,表现出良好的结果,而保守的治疗证据是有限的.
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