在患有高风险神经性下尿路功能障碍的患者中,对上尿路的随访
1Department of Urology, Apollo Hospital, Hyderabad, India. drsanjaysinha@hotmail.com.
World journal of urology
|September 13, 2023
概括
患有高风险神经性下尿路功能障碍 (nLUTD) 的患者需要结构化上尿路监测. 这包括监测功能,生长和结构完整性,以防止不可逆转的损伤.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 儿科医学 儿科医学
背景情况:
- 神经性下尿路功能障碍 (nLUTD) 构成可预防的上尿路损伤的重大风险.
- 现有的指导方针缺乏对nLUTD患者的UUT监测领域的准确建议.
- 识别高风险的nLUTD种群对于有针对性的UUT监测至关重要.
研究的目的:
- 为了确定患有nLUTD的患者有更高的UUT损伤风险.
- 定义需要监控的UUT的特定领域.
- 强调在高风险的nLUTD人群中UUT监测的重要性.
主要方法:
- 对现有证据和全球指导方针进行了叙述性审查.
- 审查的重点是确定高风险的NLUTD患者群体.
- 根据文献定义了UUT监测的关键参数.
主要成果:
- 高风险患者包括患有开放性脊柱裂变,脊髓损伤,直肠形或涉及临床/尿动力学发现的患者.
- 一个结构化的监测计划应该评估膜过率 (GFR),脏生长,痕,水性缩,膀管外逆流以及非GFR功能标志物.
- 在高风险的NLUTD患者中,基于囊素的GFR估计和测量的GFR比基于肌素的估计更可靠.
- 现有的泌尿器科指南往往缺乏关于UUT监测和科考虑的细节.
结论:
- 一个有结构的监控协议和UUT域的清晰文档是必不可少的.
- 这种方法确保了最佳的护理,并防止高风险的nLUTD患者的UUT损伤.
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