在病理双重脏中尿道-尿道解体的结果
Monsoia Gildas Yassegoungbe1, Ronny Bensaid1, Louise Montalva2
1Department of Pediatric Surgery, CHU-Lenval Hospital, Nice 06200, France.
Journal of pediatric urology
|January 28, 2024
概括
尿道-尿道解剖 (UUA) 有效地治疗双重 (DK),保留受影响的杆,并发症率低. 这种手术方法是成功的,不管是否使用腹腔切除术,腹腔镜或组合方法.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术技巧 手术技巧
- 脏采集系统异常 脏采集系统异常
背景情况:
- 双重脏 (DK) 经常存在尿路病变,例如上极阻塞或下极膀流 (VUR).
- 对于DK的治疗有所不同,从观察到切除术,但尿道-尿道解剖术 (UUA) 可以保存受损的极.
研究的目的:
- 评估尿道-尿道解 (UUA) 在双重脏 (DK) 的儿童的结果.
- 根据手术方法来比较UUA的结果:腹腔镜,腹腔镜或组合.
主要方法:
- 对33名儿童 (0-15岁) 的回顾性分析,这些儿童在2002年至2022年期间接受了DK的UUA.
- 评估的结果包括并发症,尿路感染和随访期间的超声检测结果.
主要成果:
- 在33名儿童中进行了UUA手术,手术时的平均年龄为13个月. 大多数病例 (87.9%) 的产前诊断.
- 在12.1%的病例中出现并发症,需要进一步的手术,但手术时间,住院时间或手术方法之间的并发症没有显著差异.
结论:
- 尿道-尿道解剖 (UUA) 是一个有效的手术选择,用于管理双重脏 (DK).
- 该程序允许保存病态极,并发症率低,无论采用哪种手术方法.
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