泌尿疗法和生物反抗功能障碍排泄:如何应对?
M İrfan Dönmez1, Ismail Selvi1, Tayfun Oktar1,2
1İstanbul Faculty of Medicine, Department of Urology, Division of Pediatric Urology, İstanbul University, Istanbul, Turkey.
Lower urinary tract symptoms
|June 26, 2024
概括
儿童的抗治疗功能障碍排泄 (DV) 通常需要组合疗法才能取得成功. 虽然大多数儿童在临床上有所改善,但有些人可能会经历持续的症状,尽管多次干预.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 儿科脏病学 儿科脏病学
- 儿童健康 儿童健康
背景情况:
- 功能障碍排泄 (DV) 是儿童常见的疾病,治疗可能具有挑战性.
- 在DV的治疗耐药性需要探索替代和组合管理策略.
- 盆地生物反疗法 (BF) 是主要的治疗方法,但有些孩子没有充分的反应.
研究的目的:
- 分析治疗耐药性功能障碍排泄 (DV) 的儿童各种管理策略的有效性.
- 为了确定那些对初始泌尿疗法和生物反没有反应的儿童的成功组合治疗方法.
- 评估一组儿科患者中耐火性DV的结果.
主要方法:
- 对16名患有DV的儿童进行了回顾性审查,这些儿童对泌尿疗法和初始的盆地生物反疗法 (BF) 显示出不完全的反应.
- 在初始BF前后对人口和临床特征,DVSS和尿液流量计参数的分析.
- 后续治疗的记录,包括抗胆固醇药物,TENS,救援BF会话和肉A注射,以及它们的临床反应.
主要成果:
- 在24个月的中位数随访后,总临床成功率为87.5%.
- 组合治疗,包括抗胆固醇药,TENS和救援BF会话,在大多数情况下都是有效的.
- 在排空效率 (VV-EBC),最大流速 (Qmax) 和减少DVSS和排空后剩余体积 (PVR-EBC) 中观察到显著改善.
结论:
- 不同的组合治疗可以在大多数患有耐治疗功能障碍排泄 (DV) 的儿童中取得临床成功.
- 一小部分儿童可能会继续经历麻烦的症状,尽管综合治疗方法.
- 救援疗法和组合疗法对于管理耐药儿科DV至关重要.
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