部分泌尿器官动员在形形:这是一个可行的选择吗?
Naser Al-Soudan Al-Anazi1, Joe Curry2, Simon Blackburn2
1Department of Paediatric Urology, Great Ormond Street Hospital, WC1N 3JH, London, UK.
Journal of pediatric urology
|June 4, 2023
概括
部分泌尿器官动员 (PUM) 是对某些患有腔形 (CM) 患者的可行的手术选择,特别是那些常见通道小于3厘米的患者. 这种方法提供了良好的结果,可以避免与全泌尿器官动员 (TUM) 相关的并发症.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传异常 是一种先天性异常.
背景情况:
- 自1997年以来,全泌尿器官动员 (TUM) 已成为形形 (CM) 中泌尿器官综合体的标准手术方法.
- 部分泌尿器官动员 (PUM) 是一种未充分利用或未充分报告的CM治疗替代方案.
研究的目的:
- 探索可行性,并在CM患者的选择子集中报告PUM的早期结果.
- 在解剖学差异和潜在益处方面,将PUM与TUM进行比较.
主要方法:
- 对从CM患者 (2012-2020年) 收集的前性数据的回顾性审查.
- 包括标准:初级重建,PUM程序.
- 收集的数据:穆勒尔异常,常见通道长度,尿道长度,手术重建和结果 (禁欲,尿道感染,成像,空白后残留物).
主要成果:
- 共有11名常见通道<3厘米的患者接受了初级重建;只有一人患有TUM.
- 在PUM组中,20%的患者经历了丝脱,50%的患者有穆勒的重复.
- 平均通道长度为1.6厘米,尿道长度为1.5厘米. 所有PUM患者在重建后都实现了分离的尿道和阴道开口.
结论:
- PUM是CM的可行替代品,常见通道<3厘米,产生良好的结果.
- 适当的患者选择和干预措施的准确分类对于理解真正的结果至关重要.
- PUM可能比TUM提供优势,因为它可以避免阴-尿道带分裂,并可能需要干净的间歇性导管注射 (CIC).
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