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在多学科管理下,Cloaca患者的长期泌尿学结果
C Pellegrino1, M Agamennone1,2, B D Iacobelli3
1Division of Neuro-Urology, Bambino Gesu' Children's Hospital, IRCCS, Piazza di Sant'Onofrio 4, 00165, Rome, RM, Italy.
Pediatric surgery international
|August 16, 2023
概括
形形 (CM) 的结果取决于常见通道 (CC) 长度和隐藏的脊髓形 (OSD). 早期咨询和多学科护理可以改善CM患者的尿和便节.
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
- 遗传异常是一种先天性异常.
背景情况:
- 克洛亚克形 (CM) 呈现出复杂的泌尿和肠道挑战.
- 管理层优先考虑维护功能和实现制.
- 常见通道 (CC) 长度和隐性脊柱失明 (OSD) 的影响需要进一步分析.
研究的目的:
- 为了分析患有Cloacal形的患者的尿路和肠道结果.
- 评估常见通道 (CC) 长度对患者结果的影响.
- 评估隐性脊柱失色症 (OSD) 与CM中的功能结果之间的关联.
主要方法:
- 在1999年至2020年期间接受治疗的20名Cloacal形患者的回顾性评估.
- 排除了不到2.5年的随访期的患者.
- 评估常见通道 (CC) 长度,功能,尿道/肠道结果以及相关异常 (OSD).
主要成果:
- 在55%的患者中观察到长的常见通道 (CC>3厘米).
- 在8/20实现了尿,而9/20通过导管实现了干燥.
- 3/20实现了便节,14/20通过肠道管理保持清洁.
- 隐性脊柱失色症 (OSD) 在50%的患者中存在,长期CC患者的患病率 (73%) 更高.
结论:
- 常见通道 (CC) 长度和隐藏的脊髓失色症 (OSD) 在形形患者中显著影响尿液和便的kontinence.
- 早期的患者咨询和多学科管理对于优化长期结果至关重要.
- 建议将护理集中到专门机构,以改善复杂的先天性异常的结果.
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