在Deflux®后的膀管道结口阻塞中成功进行了救援肺腔镜手术
Li-Yu Yang1, Chia-Man Chou2,3,4, Sheng-Yang Huang5,6,7
1Division of Urology, Department of Surgery, Taichung Veterans General Hospital, 1650, Sec. 4, Taiwan Boulevard, Taichung, 407219, Taiwan.
Pediatric surgery international
|August 29, 2023
概括
用Deflux® (Dx/HA) 治疗尿道管逆流 (VUR) 很少会导致尿道管结阻塞. 肺视镜尿道再植入是这种罕见并发症的可行治疗方法.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 尿道瘤学 尿道瘤学
背景情况:
- 膀回流 (VESICOURETERAL REFLUX) 是儿童常见的一种疾病.
- 外注射Deflux® (Dx/HA) 是对VUR的一种最小侵入性治疗方法.
- 尿道关 (VUJ) 阻塞是Dx/HA注射后的罕见并发症.
研究的目的:
- 调查Dx/HA注射VUR后VUJ阻塞的发生率和管理.
- 为了确定与Dx/HA注射后的VUJ阻塞相关的风险因素.
- 为了评估肺镜尿管再植入用于VUJ阻塞的疗效.
主要方法:
- 回顾407名接受Dx/HA注射VUR.HA的患者病历.
- 对患有VUJ阻塞的患者的分析,包括他们的症状,治疗和结果.
- 使用脏超声波和磁共振成像来诊断VUJ狭窄.
主要成果:
- 在Dx/HA注射后,有3名患者 (0.7%) 出现了VUJ阻塞.
- 高度VUR (IV和V) 与更高的VUJ阻塞发生率有关.
- 在两名患有VUJ阻塞的患者中成功进行了肺结核视镜尿管再植入.
结论:
- 肺动脉视镜尿管再植入是一种有效的替代方案,用于管理Dx/HA注射后的VUJ阻塞.
- 纤维化和异物反应可能导致VUJ阻塞.
- 高度VUR和注射时年龄较小是发展VUJ阻塞的危险因素.
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