一项针对慢性腹痛的腹腔镜尾切除术的两中心研究
Cecilia Gigena Heitsman1, Mir Shanaz Hossain2, Alison K Heilbronner3
1Department of Pediatric Surgery, Cleveland Clinic Children's, Euclid Avenue/R3, Cleveland, OH, 9500 , USA.
Pediatric surgery international
|December 15, 2025
概括
腹腔镜尾切除术 (LA) 为许多患有慢性右下象限 (RLQ) 疼痛的儿科患者提供持续的疼痛缓解. 然而,客观的发现并不能预测哪些患者将从这种手术中受益.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 手术创新 在外科创新.
背景情况:
- 患有负面治疗的儿童的慢性右下象限 (RLQ) 腹部疼痛存在诊断挑战.
- 腹腔镜尾切除术 (LA) 对这种情况的疗效仍在争论中.
研究的目的:
- 为了评估LA在患有慢性RLQ疼痛的儿科患者的有效性.
- 确定LA后成功疼痛缓解的预测因素.
主要方法:
- 对123名儿科患者 (≤18岁) 的回顾性审查,这些患者在2010-2021年期间因慢性RLQ疼痛接受了LA.
- 临床数据的比较,手术发现,和在LA后的持续疼痛解决与持续疼痛后的患者之间的组织病理学.
主要成果:
- 在123名患者中,LA在78名患者中提供了持续的疼痛缓解.
- 疼痛缓解组之间在症状持续时间,表现,先前手术或精神病诊断方面没有发现显著差异.
- 组织病理学和同时进行的手术并没有区分响应者和不响应者.
结论:
- 腹腔镜尾切除术对于患有慢性RLQ疼痛的大量儿科患者来说是一个可行的选择.
- 需要进一步的研究来确定选择患者的客观标准,并优化耐火病例的治疗策略.
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