对与尿路皮质丝相关的压力损伤的系统审查
Serge Zogheib1, Nour Khalil, Georges Mjaess
1At Hotel Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon, Serge Zogheib, MD, is Plastic Surgeon, Department of Plastic, Reconstructive, and Cranio-Maxillo-Facial Surgery, and Nour Khalil, MD, MSc, is Urology Resident, Department of Urology. Georges Mjaess, MD, is Urology Resident, Department of Urology, Université Libre de Bruxelles, Brussels, Belgium. Also in the Department of Plastic, Reconstructive and Cranio-Maxillo-Facial Surgery, Hotel Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Charbel Feghaly, MD; Bechara Daou, MD, and Cyril Hanna, MD, are Urology Residents, and Marwan Nasr, MD, is Plastic Surgeon. The authors have disclosed no financial relationships related to this article. Submitted August 2, 2022; accepted in revised form December 1, 2022.
对于带有尿道的压力损伤 (PIs),手术管理至关重要. 将尿路转移与重建性手术相结合,特别是使用肌皮片,可显著改善这些复杂伤口的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 整形外科 整形外科 整形外科
- 伤口管理 伤口管理
背景情况:
- 带有尿道的压力损伤 (PI) 带来了复杂的管理挑战.
- 这些损伤通常发生在脊髓损伤和先前存在的排泄功能障碍的患者中.
研究的目的:
- 审查有关尿道带压力损伤的结合泌尿病学和重建性手术管理的文献.
主要方法:
- 在PubMed,MEDLINE,EMBASE和Cochrane数据库中进行了系统的文献搜索.
- 包括的研究遵循了PRISMA和PICOS指南,重点关注患有周围或下垂体PI和尿的患者.
- 九项涉及30名患者的研究被纳入最终审查.
主要成果:
- 最常见的位置是石和围PI.
- 使用片 (例如,大腿后部,横向直肠腹部) 的手术重建与尿路转移相结合,显示出高成功率 (88-100%).
- 单独进行上阴囊造膜术的成功率为47%,但与门或横向直肠腹相结合时,成功率达到100%.
结论:
- 虽然预防和伤口护理至关重要,但对于带有尿道的PI,手术干预是必要的.
- 尿路转移是任何重建的关键先决条件.
- 尿道重建,特别是当增加肌皮片时,会产生有利的结果.
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