经历直肠脱垂的婴儿和儿童

M. Y. Khan, S. Maroof, Fayaz Iqbal, Wardah Saleem, M. Shoaib, K. .
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摘要

目的与目的:了解5%酚杏仁油注射硬化疗法治疗小儿直肠脱垂的疗效。地点与设计:巴基斯坦白沙瓦MTI / LRH儿科外科。一项描述性研究,研究时间为2021年6月至2022年6月材料与方法:在儿科外科中,直肠脱垂是一个普遍存在的问题,有多种潜在的解决方案。注射硬化疗法是本分析中研究的治疗儿童直肠脱垂的技术之一。完全脱垂超过3个月的患者被考虑。术前24小时对患者进行检查。在手术开始前,进行了Kleen灌肠。这个手术是在病人全身麻醉下进行的。硬化治疗是通过在杏仁油中注射5%苯酚溶液进行的。在病人失去知觉时,在直肠粘膜下层注射了一针。在3-4个线性位置注射8-10mL 5%苯酚杏仁油溶液。每个病人都被监测了整整一个月,以寻找复发的迹象。结果:共观察到42只个体。患者中男性32人,女性10人。小至两岁,大至八岁的儿童都参与其中。脱垂可能持续3个月到4年。对26人来说,慢性腹泻是一个公认的问题。共26例患者接受硬化治疗注射。麻醉和手术本身都没有问题。随访1个月无复发迹象。实际意义:本研究将回顾我们治疗儿童直肠脱垂的经验,并根据结果制定管理策略。结论:用5%酚和杏仁油注射治疗直肠脱垂是安全、经济、有效的。关键词:直肠脱垂,硬化剂疗法,儿童,注射疗法,硬化剂疗法
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Infants and Children who Experience From Rectal Prolapse
Aim and Objective: to understand the outcomes of treating pediatric rectal prolapse with injection sclerotherapy using 5% phenol in almond oil. Setting & Design: Department of Pediatric Surgery MTI / LRH, Peshawar, Pakistan. A- Descriptive Study the duration of study from June 2021 to June 2022 Material & Method: In Pediatric Surgery, rectal prolapse is a prevalent issue with various potential solutions. Injection sclerotherapy was one of the techniques studied in this analysis of treatments for children with rectal prolapse. Patients who have had complete prolapse for more than three months were considered. Patients were checked in 24 hours before surgery. Before the procedure began, a Kleen Enema was administered. This operation was done while the patient was under general anesthesia. Sclerotherapy was performed by injecting a solution of 5% phenol in almond oil. While the patient was unconscious, an injection was placed in the rectum's submucosa. 8-10mL of a 5% phenol in almond oil solution was injected at 3-4 linear locations. Every patient was monitored for a whole month to look for signs of recurrence. Results: A total of 42 individuals were seen. There were 32 men and ten women among the total number of patients. Children as young as two years old and as elderly as eight years old were involved. A prolapse might endure between three months to four years. For 26 people, chronic diarrhea was a recognized problem. Sclerotherapy injections were administered to a total of 26 patients. There were no issues from the anesthesia or the procedure itself. There was no evidence of a recurrence during the one-month follow-up. Practical implication: This study will review our experience with the treatment of rectal prolapse in children and to formulate a management strategy based on outcome. Conclusions: Rectal prolapse may be successfully treated securely, affordably, and efficiently with injectable therapy using 5% phenol and almond oil. Keywords: Recto Prolapse, Sclerotherapy, children, injectable therapy, Sclerotherapy
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