儿童内流行膀结石病,模式和当前管理:来自巴基斯坦郊区城市环境中心的经验
Naveed Mahar1, Abdul Saboor Soomro2, Sammar Nissa Abbasi3
1Department of Urology, Sindh Institute of Urology &Transplantation, Sukkur Campus, Pakistan. navidmahardowite@gmail.com.
Urology journal
|June 1, 2024
概括
儿科膀结石仍然在农村地区流行,主要影响年轻男性. 与开放手术相比,微创性手术,如过尿道囊泡透术,在较少的并发症下提供了更好的结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 地方性疾病 地方性疾病
- 外科手术的结果
背景情况:
- 儿童的膀结石对健康构成重大挑战,特别是在资源有限的郊区环境中.
- 了解流行性膀结石的人口结构和管理结果对于公共卫生倡议至关重要.
研究的目的:
- 调查儿童特有膀结石的流行病学特征.
- 评估当前小儿膀结石手术管理策略的有效性和并发症.
主要方法:
- 从2020年1月到2021年12月,对254名患有膀结石的儿科患者进行了回顾性纵向研究.
- 外科干预包括开放式囊切除术 (OC),通过尿道的囊切除术 (TUCL) 和穿皮囊切除术 (PCCL).
- 分析了患者人口统计数据,石头特征,手术细节和并发症.
主要成果:
- 该研究发现男性占主导地位 (10.5:1比),平均年龄为4.8岁;91%的患者来自农村地区.
- 过尿道囊流失 (TUCL) 是最常见的手术 (65.0%),其次是皮肤间囊切除 (PCCL) (30.7%).
- 微创手术 (TUCL,PCCL) 与开放式囊囊切除术 (OC) 相比,显示出较低的并发症率 (4.8%,12.8%) 和较高的石头清除率 (98.1%,100%) (27.3%的并发症,100%的清除).
结论:
- 儿科膀结石在社会经济不利的农村人口中仍然是流行病.
- 最少侵入性囊泡切除术方法在缩短住院时间,成本效益和减少并发症方面具有优势.
- 及时诊断和干预,加上预防策略,对于改善儿科膀结石管理的结果至关重要.
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