NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ KẾT QUẢ ĐIỀU TRỊ CHỒI RỐN TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ

Abstract

Background: Umbilical granuloma, is a commonly seen and benign abnormality on the infant’s navel. In the world and in our country, the clinical characteristics as well as the effectiveness of the therapy are not clearly determined. Objectives: Illustrate the clinical characteristics and evaluation the results of the umbilcal granuloma treatment at Can Tho Children's Hospital. Methods: A descriptive cross-sectional study, conducted on 33 patients at Can Tho Children's Hospital from June 2022 to December 2022 Results: Umbilical granuloma is the most common in infants 2-12 months of age. Male/Female ratio is 2/1. The mean time of umbilical cord shedding is 10.7 ± 1.8 days. Almost the babies are born full term (90.9%). The reason to wind up to the hospital is umbilical granuloma discharging fluid (45.5%), clear and serous fluid (51.5%). The most common shape of the umbilical granuloma is stalkless (66.7%). The mean size of umbilical granuloma is 5.06 ± 0.76mm. In 33 patients diagnosed with umbilical granuloma, we do not observe any cases with urachal remnants. Treating pediatric umbilical granuloma with electrocautery has a high healing rate (100%) and it has no recurrences. There are 18,2% cases of periumbilical burn which are the first-degree burn. Stalkless have a high therapeutic results (p=0.002). Conclusion: umbilical granuloma frenquently has in infant which result in umbilical discharge in all patients. Rarely do babies with umbilical discharge have urachal remnants., Electrocautery has a high therapeutic impact and little associated complications after 1-2 electrocutions.