风险因素,治疗方法和阴茎化术的临床结果:系统性审查
Aschariya Wipattanakitcharoen1, Kullaya Takkavatakarn1, Paweena Susantitaphong2
1Division of Nephrology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
World journal of urology
|October 2, 2023
概括
阴茎结石症是一种罕见的血管疾病,死亡率很高. 早期诊断和治疗至关重要,因为生殖器外干涉是预后不佳的因素.
科学领域:
- 血管医学 血管医学
- 皮肤病学 皮肤病学
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 阴茎结石症是一种罕见且严重的血管疾病.
- 它的特点是阴茎动脉的化,导致显著的发病率和死亡率.
- 大多数受影响的患者患有末期病,正在接受血液透析.
研究的目的:
- 系统地审查关于阴茎化症的病例报告和系列.
- 调查风险因素,治疗策略和患者的治疗结果.
- 确定死亡率和临床改善的预后指标.
主要方法:
- 在MEDLINE和Scopus数据库中系统地搜索文献.
- 包括病例报告和病例系列,详细介绍阴茎结石.
- 提取和对患者特征,治疗和结果进行比较分析.
主要成果:
- 分析了来自94篇文章的121名患者,78.9%接受血液透析.
- 硫酸和切除术是常见的治疗方法,但没有显示出与改善结果的显著关联.
- 整体死亡率为47.8%,外生殖器参与是死亡率的重要预测因素 (p=0.03).
结论:
- 阴茎化症是一种具有高死亡率的严重疾病,与阴茎动脉化有关.
- 管理包括解决风险因素,手术脱bridement,或 penectomy.
- 强调需要早期预防,及时诊断和及时,适当的治疗.
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