成年人中的巨尿管:对当前文献的综述
Tobias Malthe Poulsen1, Mads Lund Pilgaard2, Lars Lund3,4
1Department of Urology, Odense University Hospital, J.B.Winsløwsvej 4, 5000, Odense, Denmark. tobiasskole@hotmail.dk.
International urology and nephrology
|August 1, 2024
概括
成年人的大尿道 (MU) 很少见,经常出现侧侧疼痛和尿道感染. 诊断包括CT扫描和超声波,对大多数患者推进行手术治疗,导致良好结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 成人医学 成人医学 成人医学
背景情况:
- 超大泌尿器 (MU) 是成年人不常见的疾病.
- 本综述综合了有关成人MU病例的当前文献.
研究的目的:
- 审查关于成年人巨型的文献.
- 根据关键的临床特征来表征成年MU病例.
主要方法:
- 案例报告 (2003-2023) 的文献搜索.
- 分析了35篇文章中的39个案例.
- 根据性别,年龄,病因,位置,症状,诊断,治疗和随访进行表征.
主要成果:
- 最常见:男性,40岁以下,阻塞的MU,左侧.
- 症状:侧翼/腹部疼痛,反复发生的尿路感染.
- 诊断:CT扫描,腹腔超声波.
- 治疗方法:腹腔镜/开放式手术与尿管再植入.
- 随访:大多没有事件,但可能会出现诸如结石和功能障碍等并发症.
结论:
- 成人MU很少见,症状各异.
- CT和超声波是关键的诊断工具.
- 通常建议进行手术干预,根据患者个体因素量身定制.
- 早期诊断和治疗对于管理并发症和保持功能至关重要.
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