在腹腔切除术期间的偶发性尾切除术,用于儿童的异常性肠:双中心回顾性队列研究
Tao Liu1, Xian-Feng Wei2, Yeerfan Aierken1
1Department of General Surgery, School of Medicine, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, China.
BMC pediatrics
|December 30, 2025
概括
在儿科异常性静脉置手术期间的偶发性尾切除并不能减少复发或并发症. 然而,这种程序增加了操作时间和成本,建议重新考虑常规使用.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
背景情况:
- 在儿科异常性静脉置手术中,偶发性尾切除 (IA) 的必要性是有争议的.
- 这项研究评估了在内切开放减少期间执行IA的益处和风险.
研究的目的:
- 评估偶发性尾切除术对儿科外科手术期间并发症和儿科内异常性尾切除儿童复发率的影响.
- 分析IA对手术时间,康复,停留时间和住院费用的影响.
主要方法:
- 这是一项回顾性队列研究,涉及177名儿童,他们在两个中心 (2014-2021) 接受了因特异性内肠接而进行的开放性减少.
- 根据是否进行了偶然尾切除术来对患者进行分类.
- 结果包括术后并发症,复发性肠,手术时间,口服时间,停留时间和成本,使用单变量和多变量模型进行分析.
主要成果:
- 114名患者进行了偶然尾切除术 (IA);63名患者没有接受IA. 基线特征相似,尽管非IA患者有更多的气囊试图和更高的内耳内吸收率.
- 在IA和非IA组之间,没有观察到术后并发症 (11.4%与14.3%) 或复发性内肠塞 (6.1%与11.1%) 的显著差异.
- 艾亚与显著延长的手术时间 (P=0.016) 和增加的住院总费用 (P<0.001) 相关,但对手术后的口服摄入量或住院时间没有显著影响.
结论:
- 在儿科异常性内中,偶发性尾切除并不能改善关于复发或术后并发症的结果.
- 这种手术会导致手术时间延长和医疗费用增加,大多数被切除的尾会出现最小的炎症.
- 在这种情况下,例行附带尾切除需要重新考虑,建议进行进一步的前性研究以指导外科实践.
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