儿童的肠吻合术。俄罗斯小儿外科医生研讨会决定草案，2023年4月
- 作者: Akselrov M.A.1, Dyakonova E.Y.2, Karavaeva S.A.3, Karaseva O.V.4, Kovarskiy S.L.5, Kozlov Y.A.6, Minaev S.V.7, Mokrushina O.G.5, Morozov D.A.8, Petlakh V.I.8, Poddoubny I.V.9, Podkamenev A.V.10, Razumovskiy A.Y.5, Sokolov Y.Y.11, Kholostova V.V.5, Tsap N.A.12
-
隶属关系:
- Tyumen State Medical University
- National Medical Research Center for Children’s Health
- North-Western State Medical University named after I.I. Mechnikov
- Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
- N.I. Pirogov Russian National Research University
- Irkutsk State Medical Academy of Postgraduate Education
- Stavropol State Medical University
- Yu.E. Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery, N.I. Pirogov Russian National Research University
- A.I. Evdokimov Moscow State University of Medicine and Dentistry
- Saint Petersburg State Pediatric Medical University
- Russian Medical Academy of Continuous Professional Education
- Ural State Medical University
- 期: 卷 13, 编号 2 (2023)
- 页面: 271-279
- 栏目: Clinical Practice Guidelines
- URL: https://journals.rcsi.science/2219-4061/article/view/132781
- DOI: https://doi.org/10.17816/psaic1526
- ID: 132781
如何引用文章
详细
2023年4月26日在伏尔加格勒举行了俄罗斯小儿外科医生研讨会。本次研讨会的主题是“儿童的肠吻合术”。超过180名专家参加了此次研讨会。研讨会上提交并讨论了30多份报告。在该研讨会的会议记录中发表了41篇文章。对俄罗斯75个地区的首席小儿外科医生的问卷调查进行的系统分析显示了，2021-2022年共进行了4558例肠吻合术。其中1735例手术（36%）是对新生儿进行的。这些手术在儿童外科学的一般实践中的比例不超过0.6%。对于新生儿外科医生来说，这些手术比例超过18.6%。腹腔镜手术中创建的肠吻合术的数量趋于增加（4.4%）。小儿外科医生使用双排间断肠缝 合（33.3%）、单纯连续缝合（34.6%）和不同类型的缝合（33.3%）的频率相同。在坏死性小肠结 肠炎的病例中，在流入和流出的肠道直径明显不一致的情况下，进行了T型吻合。在治疗新生儿肠管多灶性坏死时，采用了clip-and-drop技术。在多节段切除术的情况下，首选肠间吻合术而不是肠造口术。在十二指肠梗阻的情况下，进行了十二指肠十二指肠侧侧吻合术和十二指肠空肠吻合术。对于患有克罗恩病和胆总管囊肿的儿童来说，大多数专家宁愿用订书机进行手术。进行肠间磁吻合术促进减少术后并发症的风险，并有利于术后的恢复。在十二指肠手术中，腹腔镜手术后的临床观察占并发症的很大比例（66%）。对于大龄儿童来说，对小肠进行的择期手术中吻合术失败的发生率比紧急手术中的高2倍（分别为1.2%和0.4%）。
对儿童进行肠吻合术的现代技术显示出良好的效果。新技术扩大了医生觉得最好哦对患有受损肠道或腹膜炎的病人进行肠吻合术的数量。现阶段技术发展的另一个特点是腹腔镜技术和医用机械订书机的引入，但效果稍差。
作者简介
Mikhail A. Akselrov
Tyumen State Medical University
Email: akselerov@mail.ru
ORCID iD: 0000-0001-6814-8894
SPIN 代码: 3127-9804
Dr. Sci. (Med.), Professor
俄罗斯联邦, TyumenElena Yu. Dyakonova
National Medical Research Center for Children’s Health
Email: dyakonova@nczd.ru
ORCID iD: 0000-0002-8563-6002
SPIN 代码: 5709-3352
Dr. Sci. (Med.)
俄罗斯联邦, MoscowSvetlana A. Karavaeva
North-Western State Medical University named after I.I. Mechnikov
Email: swetl.karavaewa2015@yandex.ru
ORCID iD: 0000-0001-5884-9128
SPIN 代码: 4224-5532
Dr. Sci. (Med.), Professor
俄罗斯联邦, Saint PetersburgOlga V. Karaseva
Clinical and Research Institute of Emergency Pediatric Surgery and Trauma
Email: karaseva.o@list.ru
ORCID iD: 0000-0001-9418-4418
SPIN 代码: 7894-8369
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowSemen L. Kovarskiy
N.I. Pirogov Russian National Research University
Email: sim3150@gmail.com
ORCID iD: 0000-0001-6310-7110
SPIN 代码: 9308-5014
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowYuri A. Kozlov
Irkutsk State Medical Academy of Postgraduate Education
Email: yuriherz@hotmail.com
ORCID iD: 0000-0003-2313-897X
SPIN 代码: 3682-0832
Dr. Sci. (Med.), Professor, Member of the Russian Academy of Sciences
俄罗斯联邦, IrkutskSergey V. Minaev
Stavropol State Medical University
Email: sminaev@yandex.ru
ORCID iD: 0000-0002-8405-6022
SPIN 代码: 3113-6982
Dr. Sci. (Med.), Professor
俄罗斯联邦, StavropolOlga G. Mokrushina
N.I. Pirogov Russian National Research University
Email: mokrushina@yandex.ru
ORCID iD: 0000-0003-4444-6103
SPIN 代码: 5998-7470
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowDmitry A. Morozov
Yu.E. Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery, N.I. Pirogov Russian National Research University
Email: damorozov@list.ru
ORCID iD: 0000-0002-1940-1395
SPIN 代码: 8779-8960
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowVladimir I. Petlakh
Yu.E. Veltishchev Research Clinical Institute of Pediatrics and Pediatric Surgery, N.I. Pirogov Russian National Research University
Email: vladimirip1@gmail.com
ORCID iD: 0000-0001-5403-313X
SPIN 代码: 9100-6976
https://pedklin.ru/specialisty/petlakh-vladimir-ilich/
Dr. Sci. (Med.), chief researcher
俄罗斯联邦, MoscowIgor V. Poddoubny
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Email: igorpoddoubnyi@yandex.ru
ORCID iD: 0000-0002-9077-6990
SPIN 代码: 4340-8700
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowAlexey V. Podkamenev
Saint Petersburg State Pediatric Medical University
Email: podkamenev@hotmail.com
ORCID iD: 0000-0001-6006-9112
SPIN 代码: 7052-0205
Dr. Sci. (Med.), assistant professor
俄罗斯联邦, Saint PetersburgAlexandr Yu. Razumovskiy
N.I. Pirogov Russian National Research University
Email: 1595105@mail.ru
ORCID iD: 0000-0003-3511-0456
SPIN 代码: 3600-4701
Dr. Sci. (Med.), Professor, Member of the Russian Academy of Sciences
俄罗斯联邦, MoscowYury Yu. Sokolov
Russian Medical Academy of Continuous Professional Education
Email: sokolov-surg@yandex.ru
ORCID iD: 0000-0003-3831-768X
SPIN 代码: 9674-1049
Dr. Sci. (Med.), Professor
俄罗斯联邦, MoscowValeriya V. Kholostova
N.I. Pirogov Russian National Research University
Email: vkholostova@yandex.ru
ORCID iD: 0000-0002-3463-9799
SPIN 代码: 7923-6493
Dr. Sci. (Med.), assistant professor
俄罗斯联邦, MoscowNatalya A. Tsap
Ural State Medical University
编辑信件的主要联系方式.
Email: tsapna-ekat@rambler.ru
ORCID iD: 0000-0001-9050-3629
SPIN 代码: 7466-8731
Dr. Sci. (Med.), Professor
俄罗斯联邦, Yekaterinburg参考
- Collection of materials of the Russian educational symposium of pediatric surgeons “Intestinal anastomoses” (Volgograd, 2023 April 26) and the 29th All-Russian (62nd “All-Union”) scientific student conference “Actual issues of surgery, anesthesiology and resuscitation of children age” (Volgograd, 2023 April 27–29), dedicated to the 80th anniversary of the Victory in Stalingrad-battle and the 50th anniversary of the organization of the Department of Pediatric Surgery of the Volgograd State Medical University. Ed. by M.E. Statsenko, A.I. Perepelkina. Volgograd: VolgGMU, 2023. P. 6–79. (In Russ.) Available from: https://conf2023.radh.ru/Volgograd_2023_print.pdf
