通过注射托西菲林和高压氧气治疗来治疗阴茎割礼后缺血症
Mohamed A Baky Fahmy1, Tarek Abdelazeem Sabra2, Sarah Magdy Abdelmohsen3
1Faculty of Medicine, Pediatric Surgery Department, Al-Azhar University, Cairo, Egypt. mabfahmy@gmail.com.
BMC urology
|July 12, 2023
概括
在儿童中,割礼后阴茎缺血可以通过高压氧气疗法和pentoxifylline的结合来有效地管理. 早期干预显著改善了结果,并减少了阴茎组织损失.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术并发症 手术并发症
- 缺血管理 缺血管理
背景情况:
- 割礼后阴茎缺血是男性婴儿的严重并发症.
- 本研究涉及儿童割礼后阴茎缺血的管理.
研究的目的:
- 介绍治疗割礼后阴茎缺血的儿童的经验.
- 评估综合治疗方法的有效性.
主要方法:
- 对23名患有割礼后阴茎缺血症的男孩进行了前性观察和干预研究 (2017年4月-2021年10月).
- 治疗方案包括托西菲林输液,高压氧气,导管,以及为深度缺血症进行手术脱bridement.
- 收集的数据包括患者人口统计学,麻醉,透皮术使用,呈现时间和伤口培养.
主要成果:
- 在3382名割礼儿童中,阴茎缺血发生在0.7%的儿童中.
- 单极性透皮症 (74%),压缩 (52.2%) 和缺乏经验的医生 (73.9%) 是主要的因素.
- 在24小时内早期治疗导致显著更好的结果 (p=0.001).
结论:
- 高压氧气疗法和托西菲林的结合有效治疗阴茎缺血与皮肤和面部.
- 这种管理策略有助于减少儿科患者的阴茎组织损失.
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