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直肠形儿童的低血压管理:一个多学科的单一中心经验
Valentina Forlini1,2, Chiara Pellegrino3, Maria Luisa Capitanucci1
1Division of Neuro-Urology, Bambino Gesu' Children's Hospital, IRCCS, Piazza di Sant'Onofrio, 4, 00165, Rome, RM, Italy.
Pediatric surgery international
|July 6, 2023
概括
阳肠形 (ARM) 和低度常常共存,通常与隐藏的脊柱失色症 (OSD) 一起存在. 管理需要仔细的神经泌尿学评估和量身定制的手术规划,以获得最佳的结果.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 遗传性缺陷 遗传性缺陷是一种先天性缺陷
背景情况:
- 阳肠形 (ARM) 经常伴有相关的先天性异常.
- 在ARM患者中,对低度的管理,特别是关于隐性脊柱失色症 (OSD) 的管理,没有得到充分的记录.
研究的目的:
- 描述在被诊断患有直肠形的患者中患有hypospadias的手术经验.
- 为了评估hypospadias,ARM和隐藏的脊柱失色症 (OSD) 之间的关联.
主要方法:
- 在1999年至2022年期间接受治疗的ARM患者的回顾性审查.
- 对临床数据的分析,包括ARM亚型,缺症的严重程度,OSD和神经泌尿道下部尿路功能障碍 (NLUTD).
主要成果:
- 在395名ARM患者中,有22人 (10%) 患有低血压;其中11人 (55%) 患有OSD.
- 五名患有OSD和NLUTD的患者接受了脱和干净间歇性导管 (CIC).
- 靠近的缺血症需要两个手术阶段,而远部缺血症的纠正在4/11例中取得了成功.
结论:
- 低度在ARM患者中很常见,需要进行外科计划,考虑OSD和潜在的NLUTD.
- ARM和hypospadias的复杂性似乎是相关的,强调需要全面的神经泌尿学评估.
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