长期膀结果使用处方者模式评分系统用于后尿道的尿道
N M Haney1, T Sholklapper2, C Crigger1
1Jeffs Division of Pediatric Urology, Charlotte Bloomberg Children's Hospital, Johns Hopkins Medicine, Baltimore, MD, USA.
Journal of pediatric urology
|April 23, 2024
概括
以膜切除 (VA) 或转移 (VES/CU) 治疗的后尿道 (PUV) 患者表现出类似的长期膀结果和进展到末期膀. 在所有治疗过程中,保留问题比失禁更常见.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 排空功能障碍是什么意思
- 膀的重建 膀的重建
背景情况:
- 后部尿道 (PUV) 需要通过切除 (VA) 或转移 (血管静脉/皮肤尿道静脉) 进行尿道排水.
- 在PUV治疗后的长期膀功能和空白症状仍然不完全理解.
- 在转移逆转后空白症状的表征是有限的.
研究的目的:
- 评估医生对PUV患者保持和失禁的治疗模式.
- 为了比较初级膜切除 (VA) 和转移 (VES/CU) 之间的结果.
- 为了确定膀增大 (末期膀) 的进展率.
主要方法:
- 76名PUV患者 (5-40岁) 的回顾性队列研究.
- 保持和失禁得分是根据特定的临床参数计算的.
- 严重的症状由得分值定义;末期膀 (ESB) 需要增强.
主要成果:
- 在VA和VES/CU组之间,严重的保留或失禁治疗模式没有显著差异.
- 与ESB的进展率相似 (9.4%的VA与17.4%的VES/CU对比).
- 整体而言,保留症状治疗比失禁治疗更常见.
结论:
- 长期的膀结果和ESB的进展是相似的,无论PUV的初级干预 (VA与VES/CU).
- VES/CU患者对保守治疗的反应与VA患者相似.
- 这个队列中的膀结局与使用的尿路转移类型无关.
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