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成人初级阻塞性大尿道的内镜管理:技术和长期结果

Zhenyu Li¹, Kunlin Yang¹, Yicong Du¹

¹Department of Urology, Peking University First Hospital, Institute of Urology, Peking University, National Urological Cancer Center, Xicheng District, Beijing, China.

European urology open science

|September 11, 2024

概括

成人主要阻塞性大尿道 (POM) 的内镜治疗是一种安全有效的治疗方法. 这种微创手术方法在成人POM患者中显示出有利的长期成功率.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
最少侵入性的手术
内分泌病学在内分泌病学.

背景情况:

成年人的初级阻塞性大尿道 (POM) 是一种罕见的疾病,其特征是尿道狭窄和上部通道扩张.
关于成年POM的内镜治疗的研究有限.
本研究详细介绍了一种特定的内镜技术及其长期结果.

研究的目的:

描述成人POM的内镜技术.
评估这种内镜管理的长期结果和成功率.
评估成人POM内镜治疗的安全性和有效性.

主要方法:

76名接受内镜治疗的成人POM患者的回顾性分析 (2015年9月 - 2024年1月).
狭窄的内镜扩张到24-30Fr (3分钟25-35 atm),在39名患者中进行了额外的切口.
手术成功的定义是没有管/支架,症状/功能稳定,术后没有反流或阻塞.

主要成果:

所有程序都通过内镜完成,没有开放转换.
平均手术时间为45分钟,血液损失最小,住院3天.
总体成功率为92.1%,平均随访时间为42个月;6.6%的患者经历了缩和1.3%的高度逆流,需要进行二次手术.

结论:

成人POM的内镜治疗是一种安全有效的程序.
有利的长期结果支持其使用.
这种方法可以被认为是成人POM的第一线治疗选择.

关键词:

成人泌尿器科成人泌尿器科内镜检查是指内镜检查.内分泌病学在内分泌病学.在UreterUreter中使用.

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