双边单一系统外阴尿道与双边尿道插入和马脏在一个女孩子的子宫外尿道
Harun Wijanarko Kusuma Putra1, Gerhard Reinaldi Situmorang1, Arry Rodjani1
1Department of Urology, Cipto Mangunkusumo National Referral Hospital, Faculty of Medicine University of Indonesia, Indonesia.
Urology case reports
|June 8, 2023
概括
在患有宫外尿道和膀功能障碍的婴儿中,早期尿道再植入可以保持和膀功能. 这种方法避免了复杂的重建性手术,改善了儿科患者的治疗结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 手术创新 在外科创新.
背景情况:
- 双边单一系统外宫尿道在儿科患者中存在重大挑战.
- 相关疾病包括小膀容量,马脏和水.
- 发烧性尿路感染 (UTI) 和持续性尿失禁是常见的并发症.
研究的目的:
- 评估早期双边尿管再植入在患有复杂泌尿器官异常的儿科患者中的疗效.
- 评估手术对功能,膀容量和失禁的影响.
- 确定早期干预是否可以防止需要更复杂的重建性手术.
主要方法:
- 一个14个月大的女婴在一次手术中使用修改后的利希-格雷戈尔技术进行了双边尿管再植入.
- 这名患者被诊断为双边单一系统外宫尿道,小膀容量,马,双边水.
- 手术后的随访包括对一年内尿路感染复发,体,功能和膀容量的评估.
主要成果:
- 患者没有出现复发性发烧性尿路感染,并在手术后实现了连续的禁欲.
- 干预后,功能参数显示有所改善.
- 膀容量增加了十倍,膀部在随访一年内变得有能力.
结论:
- 早期双边尿道再植入是儿科患者治疗异位尿道和相关膀功能障碍的有效治疗方法.
- 这种最少的侵入性方法成功地保持了和膀功能.
- 迅速的外科干预可以防止在幼儿中需要复杂的重建手术.
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