一个Trocar辅助的逆转皮质突镜式尿路尿路整形术,用于尿道重复
Quang Thanh Nguyen1,2, Dung Anh Le1, Khoi Anh Nguyen2
1Department of Surgery, The National Hospital of Pediatrics, Hanoi, Vietnam.
Journal of endourology
|July 25, 2024
概括
一个托卡尔辅助的逆转皮质突镜性尿路尿路静止术 (OTAU) 是一种安全有效的外科手术技术,用于完全尿路重复的儿童. 这种微创手术方法成功地保持了功能,并在所有接受治疗的患者中缓解了症状.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 遗传异常是一种先天性异常.
背景情况:
- 完整的尿路重复是儿童常见的一种先天性异常.
- 手术干预通常是必要的,以解决与重复尿道相关的并发症.
研究的目的:
- 描述手术技术,并评估一个托卡尔辅助逆皮托尼奥斯科普性尿管管切除术 (OTAU) 的结果.
- 评估OTAU在患有完全尿管重复症的儿科患者的安全性和有效性.
主要方法:
- 对40名接受OTAU.治疗的儿科患者 (10岁以下) 的回顾性分析.
- 详细描述手术程序,包括切口,三角管插入和尿路尿路除术,使用PDS 6/0 sutures.
- 预期收集人口统计,运营和后续数据.
主要成果:
- 平均手术时间为81.9±11.3分钟,没有手术内并发症.
- 所有患者都保持了差异性功能;术后观察到上极部分和尿管直径的显著减少 (p < 0.05).
- 在所有出现了手术前症状的32名患者中,症状完全消失.
结论:
- 在儿童中,OTAU是一种安全且可行的手术选择,用于管理完整的尿管重复.
- 该程序显示出出色的结果,包括保存功能和症状解决.
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