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[胰腺囊性纤维化患儿手术病理的发生率及处理]

[Incidence and management of surgical pathology in children with cystic fibrosis of the pancreas].

作者信息

Ros Z, López Gutiérrez J, Carrero C, Utrilla J G, Antelo C, Carrasco S

出版信息

Cir Pediatr. 1989 Apr;2(2):72-5.

PMID:2485673
Abstract

This report reviews 110 children of ages ranging from 2 months to 17 years, with a diagnosis of cystic fibrosis, and analyzes the surgical treatments they have undergone. In our series, meconium ileus shows an higher occurrence (20%) than the reported by the literature. No direct relationship could be established between the existence of meconium ileus and a more severe affectation of cystic fibrosis. Rectal prolapse occurred in 10% of the patients, and only 4% underwent surgical treatment. Three children with appendicitis developed a periappendiceal abscess due to delayed diagnosis and 2 other were operated upon for meconium ileus equivalent. From 7 patients with gastroesophageal reflux, 5 were treated non-operatively and 2 required corrective surgery. Fifty five patients out of the 110 (45%) underwent different surgical procedures.

摘要

本报告回顾了110名年龄在2个月至17岁之间、被诊断为囊性纤维化的儿童,并分析了他们所接受的外科治疗。在我们的病例系列中,胎粪性肠梗阻的发生率(20%)高于文献报道。胎粪性肠梗阻的存在与囊性纤维化更严重的病情之间未发现直接关联。10%的患者发生直肠脱垂,仅4%接受了手术治疗。3例阑尾炎患儿因诊断延误出现阑尾周围脓肿,另外2例因胎粪性肠梗阻等效情况接受了手术。110例患者中有7例患有胃食管反流,其中5例接受非手术治疗,2例需要进行矫正手术。110例患者中有55例(45%)接受了不同的外科手术。

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