低容量原子化povidone-的可行性作为一个腹膜消毒剂在复杂的尾炎
Kelly R Bates1, Alison J Lehane2, Ashley C Dodd2
1Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois; Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
The Journal of surgical research
|October 1, 2025
概括
低容量原子化波维- (LVAP) 是治疗儿科复杂尾炎的新技术. 虽然LVAP在统计学上没有显著性,但在抑制感染中减少瘤方面显示出有前途,这需要进一步调查.
科学领域:
- 儿科外科手术 儿科外科手术
- 手术方面的创新.
- 传染病管理 传染病管理
背景情况:
- 儿科复杂尾炎经常导致形成.
- 目前的吸收,灌或排水等方法缺乏强有力的证据.
- 需要新的消毒技术来减少术后并发症.
研究的目的:
- 评估用于复杂尾炎的低容量原子化波维- (LVAP) 的可行性.
- 评估LVAP作为儿科病例中的消毒技术.
- 将LVAP与标准手术实践进行比较.
主要方法:
- 在儿童医院进行了回顾性病例控制研究 (2020-2024年).
- LVAP涉及通过 trocar 应用雾的波维-.
- 将LVAP (25名患者) 与标准实践 (340名患者,50名匹配对照) 进行比较.
主要成果:
- 没有任何不良事件与LVAP相关.
- 在LVAP中,的发生率为16%,而在标准实践中为24% (P=0.56).
- 在封闭感染中,LVAP没有出现.
结论:
- LVAP是一种可行的新手术技术,用于儿科复杂尾炎.
- 在控制感染中,LVAP在降低 rate方面表现有前途.
- 结果为未来动力研究的样本大小计算提供信息.
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