低收入和中等收入国家的儿科丸扭曲:OxPLORE范围研究
Piero Alberti1, Jola Bytyci1, Jessy Jindal1
1Oxford University Global Surgery Group, Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
Pediatric surgery international
|May 2, 2024
概括
在低收入和中等收入国家 (LMICs) 儿科丸扭曲的文献很少. 这次审查发现证据有限,质量不佳,突出了治疗的延迟和这种紧急情况的各种手术方法.
科学领域:
- 儿科手术 儿科手术
- 全球健康 全球健康
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 在低收入和中等收入国家 (LMICs) 的儿科手术条件上存在有限的研究.
- 及时治疗丸扭曲是儿科紧急手术护理质量的关键指标.
- 这项研究综合了有关LMIC儿童丸扭曲的现有文献.
研究的目的:
- 对LMIC中儿科丸扭曲的所有可用文献进行范围审查.
- 识别知识缺口和未来研究领域.
- 评估LMIC中儿科丸扭曲管理现有证据的质量.
主要方法:
- 全球儿科手术研究小组OxPLORE进行了全面的数据库搜索.
- 通过从LMIC中使用关键词"丸扭曲"或"急性阴囊"来确定研究.
- 应用了主题分析,并评估了包含文章的证据质量.
主要成果:
- 包括17项涉及1798名患者的研究,全部来自中等收入国家.
- 大多数研究 (76%) 的患者人数少于100人,并被评估为提供不够充分的证据.
- 发现了治疗的重大延迟,关于诊断工具 (评分系统,多普勒超声波) 的辩论以及异质的手术方法.
结论:
- 在LMIC中关于儿科丸扭曲的文献稀少且缺乏一致性.
- 迫切需要前性的多中心研究,以改善这种常见的儿科手术紧急情况的管理.
- 需要标准化的诊断和治疗方案来解决观察到的异质性.
相关概念视频
Testes: Gross Anatomy
2.0K
The testes, also known as testicles, are the male gonads. They are housed within the scrotum, a sac-like structure located beneath the penis. The scrotum's primary role is to regulate the temperature of the testes, which is crucial for sperm production.
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...
2.0K
Infertility in Males
260
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
260
Disorders of the Male Reproductive System
400
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
400


