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保守的治疗上半导体动脉综合征的保守治疗
M Martínez Díaz1, M Couselo Jerez1, E Valdés Diéguez1
1Pediatric Surgery Department. Hospital Universitario y Politécnico La Fe. Valencia (Spain).
概括
对上层介质动脉综合征 (SMAS) 的保守治疗非常有效. 像BMI,进展时间和解剖学测量等关键因素不能预测小儿SMAS患者的治疗失败.
科学领域:
- 儿科胃肠病学 儿科胃肠病学
- 外科胃肠道外科手术
- 医学诊断 医学诊断 医学诊断
背景情况:
- 上半介质动脉综合征 (SMAS) 是一种罕见的疾病,导致上部胃肠道阻塞.
- 保守的管理通常是最初的方法,但其成功的预测因素需要澄清.
研究的目的:
- 确定在被诊断患有上层半肠动脉综合征 (SMAS) 的儿科患者中保守治疗失败的预测因素.
主要方法:
- 一个回顾性病例控制研究,比较了16名小儿SMAS患者保守治疗和26名手术治疗的患者从文献综述中.
- 收集的数据包括人口,临床,诊断,治疗和进展变量.
- 统计分析使用了奇平方/费舍尔和曼-惠特尼U测试.
主要成果:
- 在保守和手术组之间没有观察到统计学上显著的差异,包括BMI,症状进展时间,SMA角度或心胸外腔距离.
- 最终的BMI,治疗成功率和住院时间也在两组之间没有显著差异.
结论:
- 保守治疗在儿科SMAS中表现出高的成功率,无论基线进展时间,BMI或解剖学测量.
- 手术不应被认为是SMAS的主要治疗方式.
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