美国婴儿泌尿外皮交叉口阻塞的流行病学
Chyng-Wen Fwu1, Julia S Barthold2, Susan R Mendley2
1Division of Public Health Research, Social & Scientific Systems, Inc., a DLH Holdings Corp Company, Atlanta, GA.
Urology
|October 6, 2023
概括
婴儿泌尿外皮结节阻塞 (UPJO) 与女性的并发症和比以前报告的更高的手术率有关. 尿路感染和特定区域与UPJO修复有关,随着时间的推移没有变化.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗信息学 医疗信息学
- 流行病学 流行病学
背景情况:
- 泌尿外皮结阻塞 (UPJO) 是一种常见的先天性异常,导致婴儿水.
- 了解UPJO的性别和诊断特异性趋势对于有效管理至关重要.
研究的目的:
- 在大量婴儿群体中描述UPJO的并发症,结果和长期趋势.
- 确定UPJO管理中的性别和诊断特异性差异.
主要方法:
- 全国范围的人口数据库的分析 (Optum Clinformatics,2007-2020).
- 包括1岁以下的患有水性的婴儿.
- 使用单变量和多变量考克斯回归来评估与UPJO诊断和手术状态相关的因素.
主要成果:
- 在22349名患有水性的婴儿中,7.7%患有UPJO;31.5%接受了修复.
- UPJO修复与之前的尿路感染 (UTI) 和中西部/南部地区有关.
- 伴随性疾病和手术的发病率高于之前的研究;女性患病率更高.
结论:
- 在婴儿中,UPJO在并发症和干预方面呈现出独特的性别和诊断特异性差异.
- 现实数据显示,与UPJO相关的手术和并发症频率更高.
- 尿路感染是与UPJO修复相关的主要相关诊断.
相关概念视频
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13
Ureters
535
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
535
Disorders of the Urinary System
339
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
339
Anatomy of the Genitourinary System I: Kidneys and Ureters
40
The upper urinary system comprises two kidneys and two ureters, which are crucial in filtering blood and forming urine.KidneysLocation and Structure:The kidneys are two bean-shaped organs positioned behind the peritoneum on either side of the spine.Kidneys are between the 12th thoracic (T12) and the 3rd lumbar (L3) vertebrae.The position of the liver causes the right kidney to sit slightly lower than the left.Protective Layers:Each kidney is enveloped in a tough, fibrous membrane called the...
40
Acute Pyelonephritis I: Introduction
20
Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such...
20
Urinary Tract Infection I: Introduction
23
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
23


