在初级新生儿中术后的结果与Hirschsprung病的老年儿童的术后结果:系统性审查和元分析
Noora Alshahwani1,2, Amer Alsaied3, Suha Tewfik4
1Pediatric Surgery, Sidra Medicine, Ar-Rayyan, Qatar. nalshahwani@sidra.org.
Scientific reports
|February 2, 2026
概括
在1个月后进行赫施普朗格病突破手术,可以获得更好的结果,包括更短的住院时间和更少的并发症. 新生儿拉透手术与更短的手术时间,但更高的发病率有关.
科学领域:
- 儿科手术 儿科手术
- 胃肠病学 胃肠病学
- 临床结果研究研究
背景情况:
- 主要拉透是对无并发的赫斯普朗格病的标准手术方法.
- 拉透手术的最佳时间仍然是调查的主题.
- 将新生儿与以后的突破进行比较对于优化患者护理至关重要.
研究的目的:
- 为了比较Hirschsprung病在新生儿期和婴儿期后期进行的拉透手术的周围手术和功能结果.
- 评估推迟拉透手术的安全性和有效性.
主要方法:
- 一个系统的审查和发表的研究的元分析.
- 在PubMed,Medline,Embase,CINAHL,SCOPUS和科学网上进行了搜索.
- 包括20项观察性研究,涉及3197名患者.
主要成果:
- 一个月后的拉透与更短的停留时间,更少的外科手术期间的败血症,更少的静脉漏,以及减少周切除和门狭窄有关.
- 新生儿拉透与更短的手术时间有关,但在整体手术部位感染或30天再入院方面没有显著差异.
- 功能性结局表明,老年儿童的便秘和 incontinence 趋势更大,新生儿的便频率增加.
结论:
- 在1个月后对希尔施普朗格病进行突破性手术似乎是安全的,并且提供了更好的术后结果和更少的发病率.
- 与新生儿相比,老年儿童通常经历更好的术后过程.
- 由于证据水平较低和结果定义不一致,建议通过大型前性研究进一步验证.
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