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用高压气球扩张对初级阻塞性大尿道进行内镜治疗,用于婴儿
Timothy C Boswell1, Carol A Davis-Dao1, Sarah H Williamson2
1Division of Pediatric Urology, Children's Hospital of Orange County, Orange CA, USA; Department of Urology, University of California-Irvine School of Medicine, Orange CA, USA.
Journal of pediatric urology
|October 2, 2023
概括
高压气球扩张 (HPBD) 有效地治疗婴儿的主要阻塞性大尿道 (POM),在80%的病例中避免手术. 这种最少的侵入性方法为儿科大尿路器提供了尿路器再植入的成功替代方案.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 内分泌病学 在内分泌病学.
背景情况:
- 婴儿初级阻塞性大尿道 (POM) 带来了外科手术的挑战.
- 干预有时是必要的临床或放射性进展.
研究的目的:
- 评估高压气球扩张 (HPBD) 作为婴儿POM的最终或暂时治疗方法.
- 评估HPBD在解决或改善大尿路器和避免重新植入的有效性.
主要方法:
- 对15名接受HPBD的12个月以下婴儿进行了回顾性审查.
- 排除标准包括其他先天性异常或之前的尿道手术.
- 迹象是渐进的尿液形缩或尿路感染 (UTI).
主要成果:
- 80%的婴儿 (12/15) 接受了成功的内镜治疗,避免了再植入.
- 随访时间中位数为2.9年.
- 3名患者需要重新植入;40%需要两种麻醉剂进行手术.
结论:
- 在婴儿POM中,HPBD是一种实用的内镜选择.
- 在大多数情况下,它成功地避免了随后的开放性手术.
- 它作为一个有效的治疗儿科大泌尿器.
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