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膀功能和功能障碍在外收缩和表皮收缩
J G Hollowell1, P D Hill, P G Duffy
1Department of Paediatric Urology, St Peter's Hospitals, London, UK.
Lancet (London, England)
|October 12, 1991
概括
膀外缩和表皮的评估显示,手术后膀功能受损. 详细的功能测试对于管理这些先天性尿路异常至关重要.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 遗传异常 是一种先天性异常.
- 下尿道功能 下尿道功能
背景情况:
- 膀外缩和表皮是先天性尿路异常.
- 在重建前后进行之前的膀功能评估是有限的.
- 最佳的治疗策略需要更好地了解膀功能.
研究的目的:
- 为了前性地评估小便道下部功能在患有膀外缩和表皮病的儿童.
- 在膀部重建之前和之后评估膀功能.
- 识别导致持续性尿泄漏和上部尿路损伤的因素.
主要方法:
- 对36名患有膀外缩和表皮的儿童 (1.5~16岁) 的前性研究.
- 低尿路功能通过囊囊测量和囊囊造影评估.
- 使用超声波成像对上部泌尿道进行评估.
主要成果:
- 在初级表皮病例中观察到正常的膀功能.
- 常规的膀部外科手术用于抑郁症严重损害了膀功能.
- 无意识的膀收缩被确定为持续尿液泄漏的原因.
- 异常可能会阻碍膀容量的发展,并导致上部泌尿道受损.
结论:
- 常规的膀部手术可能不是膀外缩和表皮的最佳治疗方法.
- 封闭的外缩膀不能达到正常的功能.
- 无意识的膀收缩是手术后的一个重要问题.
- 建议对这些患者进行例行详细的功能测试.
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