主要阻塞性大尿道的内镜气球扩张:是否需要光镜指导?
Rubén Ortiz1, Laura Burgos2, Beatriz Fernández-Bautista2
1Pediatric Urology Division, Department of Pediatric Surgery, Hospital Universitario Gregorio Marañón, Madrid, Spain. rubenortizrodriguez@hotmail.com.
World journal of urology
|September 10, 2023
概括
对于主要阻塞性大尿道 (POM) 的内镜气球扩张是有效的,有或没有光学指导. 这种微创手术提供了可比的长期结果和成功率,最大限度地减少了辐射暴露.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 最少侵入性的手术
背景情况:
- 主要阻塞性大尿道 (POM) 是一种先天性疾病,需要有效的治疗.
- 内镜气球扩张 (EBD) 是POM的一种最小侵入性选择.
- 光学指导 (FG) 在POM的EBD中的作用需要进一步调查.
研究的目的:
- 为了比较EBD的长期有效性,并发症和结果,POM与没有FG的EBD与没有FG.
- 评估非光学EBD对POM的安全性和有效性.
主要方法:
- 这是一项对2004年至2018年期间治疗的91名POM患者的比较研究.
- 第1组:EBD与FG (n=43) 的结合. 第二组:没有FG的EBD (n=48).
- 分析技术成功,并发症,复缩,以及长期结果.
主要成果:
- 两组患者在治疗后的排水情况均显著改善.
- 在初始技术故障,早期并发症,二次VUR,再缩小,或需要尿管再植入方面没有发现显著差异.
- 长期成功率高且相似:FG的86.5%与没有FG的89.6%相比.
结论:
- 对POM进行内镜气球扩张可以在没有光镜指导的情况下安全有效地进行.
- 非光学EBD提供与FGEBD相比较的长期结果和成功率.
- 通过非光学EBD最大限度地减少辐射暴露是管理POM的可行选择.
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