[儿童畸形旋转的外科治疗]。

F Schier, K Schäfer, J Waldschmidt
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引用次数: 1

摘要

从1971年到1988年,174名儿童接受了旋转畸形治疗,其中148名可以评估手术治疗的长期效果。不同的治疗方式有:不矫正、仅剥离Ladd’s腕带、caecoascendophy、Ladd’s手术和所谓的完全矫正。比较矫治和未矫治患儿的后期结果发现,未矫治的患儿(即不矫治)有17%的病例需要再次手术,而完全矫治的患儿仅8%需要再次手术。矫正后的病例因疼痛、便秘、呕吐或体重增加不佳而入院但未手术的占23%,未矫正的占6%。同样,矫正后的旋转不良导致投诉的比例为27%,而未矫正的旋转不良导致投诉的比例为9%。结论是,完全矫正减少了再手术,但出现了更多不需要手术的症状。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Surgical therapy of malrotations in childhood].

From a total of 174 children treated with malrotations from 1971 to 1988, 148 could be evaluated for long-term results of surgical treatment. The various modalities of treatment were: no correction, dissection of Ladd's bands only, caecoascendopexy, Ladd's procedure and the so-called total correction. Comparing the late results in children with and without correction it was found that those without correction, i.e. without pexy, had to be reoperated in 17% of the cases, whereas the totally corrected children required reoperation in 8% of the cases only. Corrected cases needed to be admitted but not operated later because of pain, constipation, vomiting or poor weight gain in 23%, the uncorrected ones in 6%. Likewise, corrected malrotations resulted in complaints in 27% in contrast to the noncorrected ones in 9%. The conclusion is that total correction results in fewer reoperations but in more symptoms not requiring surgery.

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