在患有神经性膀和膀增大症的患者中治疗缩器缺陷的治疗方法
Seppo Taskinen1, Eija Mäkelä2, Niklas Pakkasjärvi2
1Section of Pediatric Urology, New Children's Hospital, Helsinki University Hospital and University of Helsinki, Helsinki, Finland. seppo.taskinen@hus.fi.
Pediatric surgery international
|June 28, 2023
概括
在患有神经性膀和增大症的患者中治疗关节缺陷是具有挑战性的. 虽然各种手术改善了禁欲,但只有74%的人实现了完全干燥,这凸显了需要有效的膀部治疗的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科泌尿外科 儿科泌尿外科
- 神经泌尿病学 神经泌尿病学
背景情况:
- 神经性膀通常需要进行膀增大手术.
- 管缺陷是增强后的常见并发症,影响了 incontinence.
- 有效管理尿失禁对于这些患者的生活质量至关重要.
研究的目的:
- 评估膀部手术的必要性和有效性,以治疗神经性膀和增大症患者的缩器缺陷.
- 在这个特定的患者群体中评估尿失禁的不同手术干预措施.
主要方法:
- 对一家医院数据库的回顾,该数据库包括了1990年至2019年间接受了神经性膀输卵管阻塞手术的患者.
- 分析患者诊断,频率,类型和治疗结器缺陷治疗的疗效.
主要成果:
- 43%的患者 (37/87) 需要为结器缺陷进行手术.
- 膀部注射 (BNI) 在36%的患者中实现了完全禁欲,而带手术在64%的患者中取得了成功.
- 总的来说,74%的患者获得了干燥,22%的患者偶尔遇到失禁,5%的患者每天出现一次性发作.
结论:
- 在增强的神经性膀中治疗关节缺陷存在重大挑战.
- 虽然膀部手术有所改善,但对于很大一部分患者来说,实现完全禁欲仍然是困难的.
- 需要进一步研究如何优化神经性膀患者尿失禁手术的结果.
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