一条悬崖之路:膀石在增强型外 - 突发症复杂患者中
Victoria Maxon1, Ahmad Haffar1, Chloe A Michel1
1Robert D. Jeffs Division of Pediatric Urology, James Buchanan Brady Urological Institutions, Johns Hopkins Hospital, Johns Hopkins Medical Institutions, Charlotte Bloomberg Children's Hospital, Baltimore, MD.
Urology
|July 10, 2024
概括
膀结石在膀增大后患有外 - 膀复合症的患者中很常见. 由于石头复发,大多数患者需要多次手术,这突显了预防性干预的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 重建性泌尿器科重建性泌尿器科
背景情况:
- 外 - 皮综合体 (EEC) 常常需要进行膀增大.
- 在EEC患者的膀增大可以导致结石形成.
- 为增强肠道部分的选择可能会影响结石的发展.
研究的目的:
- 为了确定增强细胞形成术的EEC患者膀结石形成的速度.
- 调查肠段的选择是否影响结石形成和手术并发症.
- 评估该人群中膀结石治疗的复发率和长期结果.
主要方法:
- 对IRB批准的机构数据库进行回顾性审查.
- 在2003年至2023年期间,包括259名经过EEC和增强细胞塑造手术的患者.
- 基于使用的肠段 (结肠与大肠) 的结石形成率,结石组成,治疗时间,复发和并发症的分析.
主要成果:
- 膀结石发生在21.6%的增强EEC患者中.
- 虽然结石在乳腺增生 (29%) 比结肠增生 (19%) 更频繁,但这种差异在统计学上并不显著.
- 达利特和斯特鲁维特是最常见的石头组成部分; 74%的患者出现了需要进一步手术的复发,平均每位患者2+次石头手术.
- 14%的患者出现并发症,增强型之间没有显著差异.
结论:
- 在经过增强细胞塑性手术的EEC患者中,膀结石的管理是复杂和具有挑战性的.
- 石头复发的高率需要进行干预,以防止未来的石头形成.
- 大多数患者一生都需要多次手术干预.
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