影响丸体积的因素 在未下降的丸的orchiopexy后影响丸体积
Jun Ajiki1, Tsukasa Narukawa2, Yasuyuki Naitoh2
1Department of Urology, Kyoto Prefectural University of Medicine, 465 Kawaramachi-Hirokoji, Kyoto City, Kyoto, 602-8566, Japan. jun1120@koto.kpu-m.ac.jp.
Journal of medical ultrasonics (2001)
|June 12, 2023
概括
无论患者的年龄如何,都建议进行骨干切除术 (未下降的丸的手术纠正). 手术后丸缩可以在未下降丸手术 (UDTs) 时发生,不论年龄如何.
科学领域:
- 儿科外科手术 儿科外科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
背景情况:
- 儿童未下降的丸 (UDT) 可能会影响丸体积 (TV).
- 延迟的脊椎症通常与手术后丸结果较差有关.
- 对于临床管理来说,了解电视上奥奇奥佩克西的年龄相关影响至关重要.
研究的目的:
- 为了评估orchiopexy时间对儿童手术后丸体积 (TV) 的影响.
- 为了比较24个月前与24个月后接受皮术的患者之间的结果.
主要方法:
- 追溯分析93名患者 (127个丸) 接受了骨干切除术 (2008-2020年).
- 患者根据骨折术时的年龄分为两组:<24个月 (组1) 和≥24个月 (组2).
- 丸体积 (TV) 通过超声波测量术前和术后;丸体积率 (TVR) 计算为单边病例.
主要成果:
- 在两组中都观察到经过orchiopexy的中位数TVR的显著改善 (p<0.01对1组,p<0.05对2组).
- 手术后丸缩 (TA) 在1组丸的8%和2组丸的4%发生.
- 多变量分析确定了手术前丸位置作为术后TA的唯一预测因素.
结论:
- 奥基奥佩克西改善丸体积率,无论手术时的年龄如何.
- 手术后丸缩可以发生,无论患者的年龄在orchiopexy时.
- 对于未下降的丸 (UDTs),不论诊断时的年龄如何,都建议进行骨外科.
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