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单次和重复的穿尿道膀部切口对女性排泄功能障碍的有效性
Ching-Hsiang Chiang1, Yuan-Hong Jiang2, Hann-Chorng Kuo3
1Department of Urology, Mennonite Christian Hospital, 44, Minquan Road, Hualien, Taiwan.
World journal of urology
|September 9, 2023
概括
尿道外膀部切口 (TUI-BN) 有效地治疗来自膀出口阻塞的女性排泄功能障碍. 重复手术提供了进一步的好处,高的修正最大流量率和没有先前的吊带手术预测成功.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 排空功能障碍是什么意思
背景情况:
- 由于膀出口阻塞 (BNO) 的女性排泄功能障碍显著影响生活质量.
- 尿道外膀部切口 (TUI-BN) 是女性BNO的潜在治疗选择.
研究的目的:
- 评估单次和重复TUI-BN对BNO引起的女性排泄功能障碍的疗效.
- 为了确定成功治疗结果的预测因素.
主要方法:
- 一组患有BNO引起的空腹困难的女性接受了TUI-BN.
- 视频泌尿动力学在手术前和后进行.
- 成功被定义为空白效率 (≥66.7%) 和全球响应评估 (≥2). 重复TUI-BN是因为改善不足而提供.
主要成果:
- 单次或重复TUI-BN后的累计成功率为70.3%.
- 患有和没有破坏器低活性 (DU) 的患者的成功率相似.
- 没有先前的外膜外链和高基线校正的最大流量率预测了有利的结果. 95.1%的人恢复了自排气功能.
结论:
- 不管是DU,TUI-BN对女性由于BNO导致的排泄功能障碍是有效的.
- 重复TUI-BN程序有助于改善自排空功能.
- 成功的预测因素包括高正的最大流量率和没有前外链手术的历史.
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