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小儿患者的初级内镜乳囊静止术:一个系统性审查

Maya Hatley¹, Ronald S Wang¹, Joyce Khandji²

¹Grossman School of Medicine, New York University, New York, New York, USA.

The Laryngoscope

|March 12, 2026

概括

这次审查发现,内镜式乳囊鼻术 (En-DCR) 对儿科鼻管阻塞 (NLDO) 有效. 修订率低于失败率,但由于研究异质性,结果可能被低估.

科学领域:

眼科医生眼科眼科
儿科手术儿科手术
耳鼻喉科耳鼻喉科耳鼻喉科

背景情况:

鼻管阻塞 (NLDO) 在儿童经常自发地解决.
内镜乳囊鼻腔切除术 (En-DCR) 是治疗耐火儿科NLDO的外科选择.
现有的文献显示儿科En-DCR的修订率可变,从0%到22%不等.

研究的目的:

系统地检查和确定一次性儿科内镜达克里奥西斯托利诺斯托米 (En-DCR) 后修复和失败的发生率.

主要方法:

对Medline,Embase和Cochrane数据库进行系统审查.
包括31项研究,涉及1230名儿科患者的1470个导管.
使用纽卡斯尔-太华尺度和Cochrane偏差风险工具进行质量评估;使用R和GraphPad Prism进行统计分析.

主要成果:

在9.1%的病例中进行了复查,在11.7%的病例中发生了手术失败.
患者平均年龄为5.3岁,平均随访时间为17.4个月.
研究之间的显著异质性可能导致低估并发症和修订率.

结论:

内镜乳管修复术 (En-DCR) 是对儿科鼻管阻塞 (NLDO) 的有效治疗方法.
修复的发生率低于手术失败,可能是由于短期的随访期或患者不愿重新手术.
研究设计和随访持续时间的异质性需要谨慎地解释计算的修订和失败率.

关键词:

达克里奥西斯托里诺斯托米鼻液管阻塞鼻液管阻塞儿科鼻科儿科鼻科

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