[密码化症:对其诊断和治疗的最新进展]
Viviana R Pipman1, Andrea Arcari1, Guillermo F Alonso1
1Comité Nacional de Endocrinología 2021-2023, Sociedad Argentina de Pediatría.
Archivos argentinos de pediatria
|September 13, 2024
概括
密码症,或未下降的丸,影响新生儿,需要由于生育和癌症风险的早期检测. 儿科外科医生在18个月前作为主要治疗方法进行脊椎外科术.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 儿科手术 儿科手术
- 新生儿健康 新生儿健康
背景情况:
- 阴囊无,即阴囊中没有丸,影响1-8%的满期新生儿和高达45%的早产新生儿.
- 不下降的丸与重大风险有关,包括生育障碍和恶性瘤潜力的增加.
- 早期检测和管理对于患病婴儿的最佳结果至关重要.
研究的目的:
- 提供关于密码症诊断和管理的最新临床实践文件.
- 突出需要专家转诊的相关疾病,如性发育障碍.
- 强调儿童外科医生及时干预的重要性.
主要方法:
- 审查和综合目前关于密码主义的证据.
- 为儿科实践制定更新的指导方针.
- 强调早期的外科干预和同时出现的疾病的认可.
主要成果:
- 在12-18个月之前进行早期的脊椎外科治疗是推的第一线治疗.
- 识别相关的疾病,如无意识和遗传综合征是关键的.
- 这些指导方针旨在提高儿科医生管理或转诊密码症病例的能力.
结论:
- 及时诊断和手术纠正cryptorchidism是必要的.
- 管理需要一个多学科的方法,涉及儿科医生和儿科外科医生.
- 在18个月之前及时进行骨干切除术可以改善结果并降低长期风险.
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