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Updated: Jul 11, 2025

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An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
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我以为我看到了一个反向的caval尿道;不要咬鱼标志如此容易
Beytullah Yağız1, İsmail Yağmur2, Sertaç Hancıoğlu1
1Division of Pediatric Urology, Department of Pediatric Surgery, Faculty of Medicine, Ondokuz Mayıs University, Samsun, Turkey.
Journal of laparoendoscopic & advanced surgical techniques. Part A
|November 17, 2023
概括
在尿路扩张的儿童中诊断逆尿管 (RCU) 是具有挑战性的. 用尿管支架或腹腔镜探索的超声波可以确认或排除RCU,指导适当的管理.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 放射学 放射学是一门学科.
- 手术诊断 诊断 手术诊断
背景情况:
- 逆性尿管 (RCU) 是一种罕见的先天性异常,其诊断可能具有挑战性,特别是在患有水性的儿科患者中.
- 图像上特有的"鱼"标志可能表明RCU,但其不经常发生可能导致错过或误诊断的病例.
- 以前的文献没有广泛讨论在尿路扩张管理期间怀疑的儿童RCU的诊断方法.
研究的目的:
- 在尿路扩张的治疗过程中,对怀疑有逆尿管 (RCU) 的儿童进行追溯评估诊断策略和结果.
- 评估不同成像方法和外科探索在确认或排除RCU时的有效性.
- 为了确定最佳的方法来诊断RCU在儿科患者呈现与模两可的放射性发现.
主要方法:
- 对13名尿路扩张的儿科患者进行了回顾性审查,其中考虑了RCU.
- 评估患者人口统计数据,成像发现表明RCU,诊断工作和最终诊断.
- 通过超声波 (US) 评估诊断确认,用尿管支架或腹腔镜检查.
主要成果:
- 在13名患者中,有4人被诊断患有RCU,7人患有尿管盆结阻塞 (UPJO),2人患有重复收集系统.
- 在6名患者的尿路支架和7名患者的腹腔镜探索中使用US确认或排除了RCU.
- 管理包括RCU (4名患者),UPJO (7名患者),逆流 (1名患者) 和尿路切片穿刺 (1名患者) 的校正.
结论:
- "鱼"标志可能是一个误导性的放射性发现,需要仔细评估反腔尿管 (RCU).
- 使用内置尿道支架的超声波是确认或排除RCU的令人满意的方法.
- 在怀疑RCU时, laparoscopic探索提供了一种最小侵入性的方法,具有优越的可视化,用于确定诊断.
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