相关实验视频
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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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在完整的初级膀外缩修复后,对抑郁的长期评估
Hisham M Hammouda1, Ahmed A Shahat1, Nariman Abol Oyoun2
1Urology Department Pediatric Urology Division, Assiut University, Assiut, Egypt.
Journal of pediatric urology
|August 22, 2023
概括
在膀外缩 (BE) 修复后实现尿是具有挑战性的. 虽然膀外缩 (CPRE) 的完全初级修复是可行的,但对于长期的节制,可能需要进行膀部重建或用导管式静脉口关闭.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 重建性手术是一种重建性手术.
- 泌尿器科的结果
背景情况:
- 膀外缩 (BE) 修复后的尿失禁给儿科泌尿科医生带来了重大挑战.
- 缺乏对BE维修的标准化定义和长期结果数据.
研究的目的:
- 为了评估患者的长期尿失禁后,一个阶段的完整的初级修复膀外缩 (CPRE).
- 评估后续程序在实现至少3小时干燥间隔 (DI) 的有效性.
主要方法:
- 对142名经过所训练的患者进行了回顾性分析,他们接受了单阶段CPRE.
- 手术技术包括完整的阴茎拆解 (CPD) 或修改的坎特威尔-兰斯利修复 (MCR) 和双边前横无名骨切除术 (ATIO).
- 根据需要,使用了内程序,如内镜膀项注射 (BNI),膀项重建 (BNR) 和膀项闭合 (BNC).
主要成果:
- 仅有16.2%的患者在单独使用CPRE后3小时内达到DI≥3小时.
- 其余患者需要进行补充手术,包括BNR (22.5%) 和BNC带有导管静脉口腔 (26.1%).
- 超过3小时的干燥间隔被认为是适合节的定义.
结论:
- 可以成功地完成BE的解剖关闭,但功能性节的结果是复杂的评估.
- 与双边ATIO和BNI的CPRE产生了有限的连续性.
- BNR提供了良好的制机会;否则,带有导管口腔的BNC是一个可行的选择.
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