视频泌尿动力学可以在耐火儿科下尿路功能障碍的治疗中影响管理吗?
Jason P Van Batavia1, Katherine Fischer1, Monica Moran1
1Division of Urology, The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA.
Journal of pediatric urology
|June 7, 2024
概括
视频泌尿动力学 (VUDS) 可以指导患有耐火性下尿路功能障碍 (LUTD) 的儿童的管理. 选择患有持续性失禁,多次诊所访问和高症状得分的患者可以提高诊断产量.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 泌尿动力学是什么意思 尿动力学
- 下尿道功能障碍 下尿道功能障碍
背景情况:
- 下尿道功能障碍 (LUTD) 是一个常见的儿科泌尿病问题.
- 对于耐火病例来说,管理可能是具有挑战性和令人丧的.
- 视频泌尿动力学 (VUDS) 可能为复杂的患者提供见解.
研究的目的:
- 评估VUDS在儿科耐火性LUTD中的作用.
- 确定患者选择标准,以最大限度地提高VUDS的效用.
主要方法:
- 对接受VUDS (2015-2022) 的110名非神经性LUTD患者的回顾性分析.
- 排除具有已知的神经或解剖病变和发育迟缓的患者.
- 收集的数据包括人口统计,先前的访问,以及功能障碍排泄和失禁症状评分 (DVISS).
主要成果:
- 在78%的患者 (86/110) 中,VUDS导致了治疗方法的改变.
- 变化包括药物调整,考虑干净间歇性导管 (CIC),PTNS和手术.
- 经过管理变化的患者的DVISS得分显著更高,诊所访问次数更高.
结论:
- 建议选择VUDS患者的标准:尽管有生物反/药物治疗,但耐火性失禁,≥6次诊所访问没有改善,LUT症状得分≥16.
- 这些标准可以识别受益于VUDS的患者,以准确诊断和量身定制的管理.
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