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马:从文学上的第一个报告开始500年
Guido Gembillo1, Guido Bellinghieri, Vincenzo Savica
1From the Unit of Nephrology and Dialysis, Department of Clinical and Experimental Medicine, University of Messina, Messina, Italy.
概括
马,这是最常见的合异常,自1522年以来一直记录在案. 诊断和管理方面的进步凸显了监测患有慢性病风险的个体的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 人体解剖学 解剖学 解剖学
- 医学史 医学史 医学史
背景情况:
- 马 (ren arcuatus) 是最常见的融合异常,影响500人中的1人.
- 它主要发生在下极 (>90%) 并且在位置,方向和血管解剖学上表现出差异.
- 首次描述于1522年,它的理解已经从解剖学好奇心演变为需要临床关注的条件.
研究的目的:
- 为了提供马的描述和理解的历史概述.
- 突出这一先天性异常的诊断和管理策略的演变.
- 为了强调由于相关风险,对患有马的个体进行持续监测的需要.
主要方法:
- 历史文献审查追踪描述从16世纪到现代成像.
- 分析了解子的解剖学变异和临床意义的进展.
- 综合历史和当代关于诊断和管理的数据.
主要成果:
- 马的已经被认可超过500年,早期的详细描述是由Berengario da Carpi,Leonardo Botallo和Leonard Doldius.
- 皮叶摄影的出现显著改善了对解剖变异的术前评估.
- 当代的理解强调了患有慢性病的个体患慢性病的风险更高.
结论:
- 贝伦加里奥·达·卡皮在1522年的基础工作标志着马脏的第一份记录描述.
- 泌尿病诊断和外科手术的进步已经完善了马并发症的治疗方法.
- 对患有马的个体进行持续监测对于早期发现和管理潜在的慢性病至关重要.
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