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在外的完全初级修复后的早期泌尿动力学发现
J K Weaver1, S Eftekharzdeh2, T Lee3
1Division of Urology, Cleveland Clinic Children's, USA.
Journal of pediatric urology
|June 24, 2023
概括
大多数患有膀外缩症 (BE) 的儿童在完全初级修复 (CPRE) 后表现出detrusor收缩. 这一早期泌尿动力学研究的发现表明,在BE患者中,未来的抑郁症可能会出现.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术重建手术重建的方法
背景情况:
- 膀外缩症 (BE) 患者在经过重建后发生的detrusor收缩并未得到充分理解.
- 很少有研究在这个人群中评估尿动力学发现.
- 早期评估dtrusor功能可以告知长期管理和制潜力.
研究的目的:
- 用尿动力学研究 (UDS) 评估小儿在膀外缩 (CPRE) 完全初级修复后的早期detrusor收缩.
- 为了确定在BE患者中CPRE后正常的detrusor收缩功能的患病率.
主要方法:
- 对前性收集的EB患者接受初级CPRE (2013-2017) 数据库的回顾性审查.
- 纳入标准:经典的BE,初始的CPRE,以及3岁或以上的至少一个术后UDS.
- 主要结局:在UDS.上出现鱼体收缩.
主要成果:
- 在26名符合条件的患者中 (平均年龄为3.5岁),61.5%的患者在UDS期间表现出持续的dtrusor收缩.
- 平均峰值排泄压力为38厘米的H2O.
- 膀容量中位数为预期的30%,中位数余空后余量为51%.
结论:
- 这项研究首次评估了在BE患者中CPRE后早期UDSdtrusor收缩发现.
- 比以前报告的更高的百分比 (61.5%) 显示了持续的dtrusor收缩.
- 长期随访是必要的,以跟踪dtrusor收缩性,膀功能,和制率.
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