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小儿肠吻合术:风险是否更高?

Intestinal anastomoses in small children: is there a higher risk?

机构信息

Division of Pediatric Surgery, University Hospital Heidelberg, Heidelberg, Germany.

出版信息

J Pediatr Gastroenterol Nutr. 2010 Oct;51(4):468-71. doi: 10.1097/MPG.0b013e3181d9c6bb.

DOI:10.1097/MPG.0b013e3181d9c6bb
PMID:20601903
Abstract

AIM

The aim of the retrospective study was to evaluate complications and outcome of children in whom an intestinal anastomosis had been performed at age younger than 1 year.

PATIENTS AND METHODS

Data were collected both retrospectively and by interviewing the parents. For the retrospective analysis, the underlying disease, biometric data, technical information about the anastomoses, associated illnesses, and complications were evaluated. In the parent interviews, the present quality of life and the state of health of the children were evaluated.

RESULTS

From 1997 to 2007, intestinal anatomoses had been performed in 131 children for various reasons. There were no complications in 81.7% of the patients; 17 children received reoperation. In only 5 cases were anastomotic complications the reasons for the reoperation. Only 7.3% of the 77 interviewed families believe that their child has severe or relevant restrictions in daily life.

CONCLUSIONS

Among 131 children in whom an intestinal bowel anastomosis procedure was performed at age younger than 1 year, only 5 (3.2%) experienced complications associated with the anastomosis. The children are in good physical condition and have an excellent quality of life.

摘要

目的

本回顾性研究旨在评估年龄小于 1 岁的患儿行肠吻合术的并发症和结果。

患者和方法

数据通过回顾性分析和对患儿家长进行访谈收集。在回顾性分析中,评估了基础疾病、人体测量数据、吻合术的技术信息、相关疾病和并发症。在家长访谈中,评估了患儿目前的生活质量和健康状况。

结果

1997 年至 2007 年,因各种原因对 131 例患儿进行了肠吻合术。81.7%的患儿无并发症;17 例患儿接受了再次手术。仅有 5 例吻合口并发症是再次手术的原因。77 个接受访谈的家庭中,仅 7.3%的家庭认为他们的孩子在日常生活中有严重或相关的限制。

结论

在 131 例年龄小于 1 岁的患儿中,仅 5 例(3.2%)发生与吻合口相关的并发症。患儿身体状况良好,生活质量极佳。

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Intestinal anastomoses in small children: is there a higher risk?小儿肠吻合术:风险是否更高?
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