评估在青少年进行内修复的网格放置:一个多中心的回顾性队列研究
Kathleen Heller1, Brielle V Ochoa1, R Scott Eldredge1
1Department of Surgery, Division of Pediatric Surgery, Phoenix Children's, Phoenix, AZ, USA.
Journal of the American College of Surgeons
|November 6, 2025
概括
青少年的 inguinal hernia 修复 (IHR) 很少涉及网状布置,复发率很低,为 1.3%. 这表明,没有网状的高结可能足以修复青少年.
科学领域:
- 儿科手术 儿科手术
- 外科手术的结果
- Hernia 修复技术 的修复技术
背景情况:
- 在儿科和成人患者之间,内修复 (IHR) 技术有所不同.
- 成人IHR通常涉及网状放置,而青少年IHR实践不那么明确.
研究的目的:
- 为了确定青少年患者 (12-17岁) 接受IHR的网状布置的发生率.
- 评估在这个年龄组中网状布置和的复发之间的关系.
主要方法:
- 在20家美国医院 (2017-2019) 接受初始IHR的708名青少年患者的回顾性图表审查.
- 主要结局:网状位置和的复发.
- 统计分析包括描述性统计和双变量分析,以确定相关因素.
主要成果:
- 7.8% (55/708) 的青少年在IHR期间放置了网格.
- 整体的复发率为1.3% (9/708).
- 网格放置与男性性别,年龄较大,体重较高和BMI较高有关.
结论:
- 网状布置在由儿科外科医生进行的青少年IHR中并不常见.
- 低复发率 (1.3%) 表明,在青少年 inguinal hernias 没有网状的高绑定可能是足够的.
- 进一步的研究可以探索长期的结果和最佳的手术技术.
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