尿道镜手术期间偶然尿道多的自然过程:KSER研究
Sung Yong Cho1, Kyung-Jin Oh2, Wonho Jung3
1Department of Urology, Seoul National University Hospital, Seoul National University, College of Medicine, Seoul, South Korea.
BMC urology
|June 14, 2023
概括
尿管中的纤维皮质多可能在尿管石治疗后持续存在. 尿管多的保守管理通常是最好的,以避免尿管狭窄等风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 石头疾病管理与管理
背景情况:
- 在尿路石手术期间尿路多性病变的自然史仍然不清楚.
- 在尿路透镜检查结石时,可以偶尔遇到尿路多.
研究的目的:
- 为了澄清尿路石处理后尿路多性病变的自然过程.
- 评估尿管多的保守与积极管理的结果.
主要方法:
- 从六个中心 (2019-2021) 收集前性数据,其中包括尿管聚和结石患者.
- 计算机断层扫描 (CT) 在手术后三个月.
- 根据患者同意,提供后续尿路透镜检查.
主要成果:
- 在35名随访患者中,有14人患有纤维皮质息肉,21人患有炎症性息肉.
- 在接受随访尿路透镜检查 (p=0.002) 的9/20患者中,纤维皮质多仍然存在 (p=0.002).
- 手术后的尿路收缩和水与切除的息肉数量相关 (p=0.014,p=0.006).
结论:
- 尿道纤维皮质多可能会在石头治疗后持续存在.
- 建议进行保守的管理,因为积极去除可能会增加狭窄风险.
- 炎症性息肉往往会自发消失,而纤维皮质息肉可能不会引起显著的水.
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