变化的神经泌尿病变在骨髓质疏松症中的病变
JAMA
|September 25, 1987
概括
外部泌尿道关节内置变化在新生儿患有骨髓发育不良时很常见,通常在第一年内发生. 由于这种情况的动态性质,持续监测至关重要.
科学领域:
- 儿科神经学 儿科神经学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 发展生物学 发展生物学
背景情况:
- 骨髓发育不良是一种先天性疾病,影响神经发育.
- 神经和泌尿动力学功能可能会随着时间的推移改变受影响的儿童.
研究的目的:
- 为了评估外泌尿道关节内置的变化,新生儿患有骨髓发育不良.
- 确定风险因素和这些变化的时间.
- 评估神经外科干预的影响.
主要方法:
- 连续的光谱,神经和泌尿动力学评估.
- 在79名患有骨髓质疏松症的新生儿的长度随访时间为1.5至6年.
主要成果:
- 37%的婴儿在前三年内表现出关节内膜变化,主要是在第一年 (89.6%).
- 19%的人经历了神经泌尿系统的恶化,而18%的人改善了.
- 第二次神经外科手术的结果各不相同:4例改善,2例稳定,1例恶化.
结论:
- 外部泌尿道关节内置变化是骨髓发育不良的一个动态过程.
- 早期和持续的神经和泌尿学监测对于管理这些儿童至关重要.
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