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轮尿道重建后的常规成像不影响手术结果,可能不需要
Carlos I Calvo1, Keith F Rourke2
1Division of Urology, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada; Departamento de Urología, Pontificia Universidad Católica de Chile, Santiago, Chile.
Urology
|February 28, 2024
概括
在囊尿路整形术后省略常规的术后排空囊尿路图 (VCUG) 不会影响并发症或复发率. 这项研究建议在临床实践中避免不必要的成像.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 医疗成像医学成像
背景情况:
- 常规的手术后对比成像,如空白囊回形图 (VCUG),通常在圆柱状尿路整形术后进行.
- 在取出导管之前进行例行成像的临床必要性和影响尚不清楚.
研究的目的:
- 评估泡泡性尿路造形术后遗漏例行术后成像是否会影响临床结果.
- 为了确定对90天并发症和长期狭窄性复发的影响.
主要方法:
- 一个匹配的病例对照分析比较了接受常规VCUG的患者和没有经过圆柱状尿路整形术后接受VCUG的患者.
- 患者根据年龄,狭窄病因,长度和手术技术进行了匹配.
- 评估的结果包括90天的并发症 (Clavien ≥2) 和收缩复发,随访包括临床评估和囊镜.
主要成果:
- 在VCUG和无成像组之间,90天并发症没有显著差异 (12%与7.0%,P=0.34).
- 狭窄的复发率在各组之间也相似 (P=0.44).
- 在VCUG组中,外流的发生率为2%.
结论:
- 在腹尿路造形术后进行例行术后的VCUG似乎不会影响并发症率或收缩复发的风险.
- 外科医生可能会考虑不进行常规成像,以避免在临床实践中进行不必要的程序.
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