儿童尾的非手术治疗:系统性审查
Song Zhang1, Hai Lan Zhang1, Yu Zuo Bai1
1Department of Pediatric Surgery, Shengjing Hospital of China Medical University, Shenyang, China.
Annals of medicine
|September 30, 2025
概括
对于非手术治疗的儿科尾,间隔尾切除术 (IA) 与主动观察 (AO) 相比,提供更短的住院时间和手术时间. 在IA和AO集团之间,复发率和成本相似.
科学领域:
- 儿科手术 儿科手术
- 胃肠道手术 胃肠道手术
背景情况:
- 非手术治疗 (NOT) 是小儿尾的标准初始治疗方法.
- 随后的治疗方案包括间隔尾切除术 (IA) 和主动观察 (AO).
研究的目的:
- 为了比较间隔尾切除术 (IA) 与儿童尾的成功非手术治疗 (NOT) 后的积极观察 (AO).
主要方法:
- 我们对PubMed进行了系统的文献搜索.
- 分析的关键变量包括住院时间 (LOS),复发率,并发症率,成本和手术时间.
主要成果:
- 分析了6项涉及396名患者 (145名IA,251名OA) 的研究.
- 间隔尾切除术 (IA) 与较短的LOS和手术时间有关.
- 在IA和AO之间没有发现并发症率或成本的显著差异.
- 对AO的综合复发风险为9.9% (CI:4.8-20.6%),报告的发病率在2.4%至34.2%之间.
结论:
- 在成功的非手术治疗小儿尾之后,最佳的管理策略仍在争论中.
- 需要进一步进行高质量的随机对照试验,以确定最佳的治疗方法.
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