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所有的基金复制都去哪了? 看看英格兰国家实践的变化 (2012年4月至2024年3月)

Ferzine Mohamed¹, Anindya Niyogi¹, Mark Davenport¹

¹Department of Paediatric Surgery, King's College Hospital, Denmark Hill, London, SE5 9RS, United Kingdom.

Journal of pediatric surgery

|September 29, 2025

概括

在英格兰,跨胃直肠管 (GJ) 正在越来越多地取代儿科胃食道逆流性疾病的基复合 (FP). 预测表明FP可能会在2029年停止,增加GJ管道更换的需求.

科学领域:

儿科外科手术儿科外科手术
胃肠病学胃肠病学
医疗服务研究医疗服务研究

背景情况:

输卵管复合 (FP) 和经胃结核管 (GJ) 是耐火性胃食道逆流性疾病 (GORD) 的外科选择.
关节管的侵入性较小,但需要经常进行放射性替换.
了解程序趋势对于资源分配和患者管理至关重要.

研究的目的:

分析在英格兰使用儿科基底复合 (FP) 与跨胃管 (GJ) 的趋势.
根据观察到的趋势,预测未来的程序量.

主要方法:

使用英格兰NHS数据 (2012年4月至2024年3月) 对15岁以下的儿童,通过OPCS-4代码识别程序.
采用斯皮尔曼的相关性和传统的预测模型.
进行了基于年龄的子组分析.

主要成果:

自2012年以来,GJ程序稳步增加,自2017年以来,其频率超过FP.
在大多数儿科年龄组中,FP程序显示了一致的下降.
预测表明,到2029年,FP可能会在英国完全被GJ取代.

结论:

现在,在英格兰的儿科GORD中,通过胃管 (GJ) 的安置比管 (FP) 更常见.
这种转变需要增加资源,以管理对GJ管道更换的持续需求.

关键词:

基金复制是指基金复制.胃管的管道.胃食道逆流疾病是胃食道逆流疾病.消化器连接器切除术 (Gastrojejunostomy) 是一个消化器连接器切除术.消化道和胃道的整体解离.通过胃的阴管.

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