儿科患者的齐纳综合征:一种罕见的疾病,导致管理具有挑战性
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Guidelines for Elective Pediatric Fiberoptic Intubation
Published on: January 17, 2011
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Ottavio Adorisio1, Cinzia Orazi2, Lorenzo Maria Gregori2
1Pediatric Surgery Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Frontiers in pediatrics
|February 8, 2024
概括
齐纳综合征是儿童罕见的疾病,涉及精液囊泡囊和脏问题. 手术切除,最好是微创手术,提供症状缓解,尽管复发可能需要重新干预.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术瘤学手术瘤学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 齐纳综合征 (ZS) 是儿科男性的一种罕见的先天性异常.
- 它的特征是精液囊泡囊,射精管道阻塞和双侧脏产生.
- 在年轻患者中,诊断和管理可能具有挑战性.
研究的目的:
- 审查儿童患者中津纳综合征的临床表现和治疗结果.
- 描述一系列三个手术治疗病例的经验.
- 突出儿童中ZS的诊断和治疗考虑因素.
主要方法:
- 在2016年至2021年期间诊断出有症状的ZS的三个儿科患者的回顾性评估.
- 诊断方式包括体检,超声波和腹腔皮层MRI.
- 治疗包括对一名患者进行开放式手术,对另外两名患者进行腹腔镜切除.
主要成果:
- 这三名患者都表现出盆腔疼痛和腹膜不通症.
- 平均手术时间为4小时,平均住院时间为5天.
- 两名患者在手术后实现了症状缓解;一名患者由于囊的持续性而复发,需要重新手术.
结论:
- 在患有盆腔质量,疼痛,失尿症和侧代的儿科男性中,应该怀疑ZS.
- 对于有症状的病例,有必要进行手术治疗,最好采用最少的侵入性方法.
- 完全切除是防止症状复发和重新干预的必要性至关重要的.
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