在患有先天性隔膜的患者中评估吞功能
Nzuekoh N Nchinda1, Eustina G Kwon2, Carrie Foster3
1Division of Pediatric General and Thoracic Surgery, Seattle Children's Hospital, 4800 Sand Point Way NE, Ocean 9.A.220, Seattle, WA 98105, USA; Department of Surgery, University of Washington, 1959 NE Pacific Street, Box 356410, Seattle, WA 98195, USA.
Journal of pediatric surgery
|January 11, 2026
概括
患有先天性隔膜 (CDH) 的婴儿通常需要输卵管养. 视频光镜吞研究 (VFSS) 可以检测吸收,但产前指标不清楚,这表明吞评估的门很低.
科学领域:
- 儿科手术 儿科手术
- 新生儿科学 新生儿科学
- 胃肠病学 胃肠病学
背景情况:
- kongenital diaphragmatic hernia (CDH) 在婴儿中存在肺损伤和失 ?? 的风险.
- 吸气是CDH患者的一个重要问题,影响营养支持和呼吸系统健康.
研究的目的:
- 评估使用视频光镜吞研究 (VFSS) 来检测CDH.婴儿的吸收.
- 为了确定产前指标,如肺对头比 (LHR) 和多水,与CDH婴儿的吞功能障碍相关.
主要方法:
- 对105名患有CDH的婴儿进行了回顾性观察研究.
- 对VFSS结果的分析和与产前因素 (LHR,多水症) 的相关性.
主要成果:
- 大多数CDH婴儿需要输卵管;不到一半的婴儿接受了VFSS.
- 在60%的住院VFSS和35%的门诊VFSS中检测到吸血.
- 产前因素 (CDH大小,LHR,多水症) 并没有始终与渴望相关.
结论:
- 正式的VFSS在CDH患者中未得到充分利用,尽管有食困难.
- 由于缺乏可靠的产前预测器对吸收的评估,建议低值的吞评估.
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