{"title":"COVID-19 大流行是否会改变儿童肠套叠的临床特征和治疗方法？","authors":"Begüm Pişiren, Özlem Boybeyi, Tutku Soyer MD","doi":"10.1111/1744-1633.12706","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Aim</h3>\n \n <p>Social restrictions during the coronavirus disease 2019 (COVID-19) pandemic decreased the incidence of viral diseases. Intussusception may exhibit seasonal variation, and viral aetiology is a common cause of idiopathic cases. This retrospective study was conducted to evaluate the impact of the COVID-19 pandemic on the clinical course and treatment of intussusception in children.</p>\n </section>\n \n <section>\n \n <h3> Patients and Methods</h3>\n \n <p>Patients admitted between March 2017 and December 2021 were retrospectively evaluated for age, gender, clinical findings, symptoms, length and localisation of intussusception, and treatment. They were categorised into two groups: before the pandemic (BP) and during the pandemic (DP).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>A total of 55 patients were included in the study, with 54 (78%) in the BP group and 11 (22%) in the DP group. The median age of the patients was significantly younger in the DP group (<i>P</i> < .05). Contrast enema reduction was a common treatment choice in the BP group, whereas ultrasound-guided hydrostatic reduction was more popular in the DP group (<i>P</i> < .05). The median time to start oral feeding and length of hospitalisation were significantly shorter in the DP group (<i>P</i> < .05). While there was no difference in seasonal occurrences of intussusception, idiopathic causes were more common in the BP group (<i>P</i> < .05). The incidence of intussusception with a leading point as an underlying aetiology was significantly higher in the DP group (<i>P</i> < .05).</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>During the pandemic, the rate of idiopathic intussusception significantly decreased, with leading points accounting for half of the cases.</p>\n </section>\n </div>","PeriodicalId":51190,"journal":{"name":"Surgical Practice","volume":"29 2","pages":"68-72"},"PeriodicalIF":0.3000,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Does the COVID-19 pandemic change clinic features and treatment of intussusception in children?\",\"authors\":\"Begüm Pişiren, Özlem Boybeyi, Tutku Soyer MD\",\"doi\":\"10.1111/1744-1633.12706\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Aim</h3>\\n \\n <p>Social restrictions during the coronavirus disease 2019 (COVID-19) pandemic decreased the incidence of viral diseases. Intussusception may exhibit seasonal variation, and viral aetiology is a common cause of idiopathic cases. This retrospective study was conducted to evaluate the impact of the COVID-19 pandemic on the clinical course and treatment of intussusception in children.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Patients and Methods</h3>\\n \\n <p>Patients admitted between March 2017 and December 2021 were retrospectively evaluated for age, gender, clinical findings, symptoms, length and localisation of intussusception, and treatment. They were categorised into two groups: before the pandemic (BP) and during the pandemic (DP).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>A total of 55 patients were included in the study, with 54 (78%) in the BP group and 11 (22%) in the DP group. The median age of the patients was significantly younger in the DP group (<i>P</i> < .05). Contrast enema reduction was a common treatment choice in the BP group, whereas ultrasound-guided hydrostatic reduction was more popular in the DP group (<i>P</i> < .05). The median time to start oral feeding and length of hospitalisation were significantly shorter in the DP group (<i>P</i> < .05). While there was no difference in seasonal occurrences of intussusception, idiopathic causes were more common in the BP group (<i>P</i> < .05). The incidence of intussusception with a leading point as an underlying aetiology was significantly higher in the DP group (<i>P</i> < .05).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>During the pandemic, the rate of idiopathic intussusception significantly decreased, with leading points accounting for half of the cases.</p>\\n </section>\\n </div>\",\"PeriodicalId\":51190,\"journal\":{\"name\":\"Surgical Practice\",\"volume\":\"29 2\",\"pages\":\"68-72\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2024-07-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Surgical Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/1744-1633.12706\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Practice","FirstCategoryId":"3","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/1744-1633.12706","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
摘要
2019 年冠状病毒病（COVID-19）大流行期间的社会限制降低了病毒性疾病的发病率。肠套叠可能呈现季节性变化，病毒病因是特发性病例的常见病因。这项回顾性研究旨在评估COVID-19大流行对儿童肠套叠临床病程和治疗的影响。对2017年3月至2021年12月期间收治的患者的年龄、性别、临床表现、症状、肠套叠长度和定位以及治疗情况进行了回顾性评估。他们被分为两组：大流行前（BP）和大流行期间（DP）。研究共纳入55名患者，其中BP组54人（78%），DP组11人（22%）。DP组患者的中位年龄明显更小（P < .05）。造影剂灌肠减容术是 BP 组常用的治疗方法，而超声引导静水压减容术在 DP 组更受欢迎（P < .05）。DP组开始口服喂养的中位时间和住院时间明显更短（P < .05）。虽然肠套叠的季节性发生率没有差异，但特发性肠套叠在 BP 组更为常见（P < .05）。在大流行期间，特发性肠套叠的发病率明显下降，其中前驱点占了一半。
Does the COVID-19 pandemic change clinic features and treatment of intussusception in children?
Aim
Social restrictions during the coronavirus disease 2019 (COVID-19) pandemic decreased the incidence of viral diseases. Intussusception may exhibit seasonal variation, and viral aetiology is a common cause of idiopathic cases. This retrospective study was conducted to evaluate the impact of the COVID-19 pandemic on the clinical course and treatment of intussusception in children.
Patients and Methods
Patients admitted between March 2017 and December 2021 were retrospectively evaluated for age, gender, clinical findings, symptoms, length and localisation of intussusception, and treatment. They were categorised into two groups: before the pandemic (BP) and during the pandemic (DP).
Results
A total of 55 patients were included in the study, with 54 (78%) in the BP group and 11 (22%) in the DP group. The median age of the patients was significantly younger in the DP group (P < .05). Contrast enema reduction was a common treatment choice in the BP group, whereas ultrasound-guided hydrostatic reduction was more popular in the DP group (P < .05). The median time to start oral feeding and length of hospitalisation were significantly shorter in the DP group (P < .05). While there was no difference in seasonal occurrences of intussusception, idiopathic causes were more common in the BP group (P < .05). The incidence of intussusception with a leading point as an underlying aetiology was significantly higher in the DP group (P < .05).
Conclusion
During the pandemic, the rate of idiopathic intussusception significantly decreased, with leading points accounting for half of the cases.
期刊介绍：
Surgical Practice is a peer-reviewed quarterly journal, which is dedicated to the art and science of advances in clinical practice and research in surgery. Surgical Practice publishes papers in all fields of surgery and surgery-related disciplines. It consists of sections of history, leading articles, reviews, original papers, discussion papers, education, case reports, short notes on surgical techniques and letters to the Editor.
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