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Endoscopic Procedures V: ERCP01:26

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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办公室为基础的儿科泌尿外科手术程序.

Abdulaziz Alwehaibi1, Fahad Alyami2, Faisal Altwijri3

  • 1Department of Urology, King Saud Medical City, Riyadh, Saudi Arabia.

Urology annals
|September 18, 2024
PubMed
概括

在局部麻醉下进行肉切割和阴茎粘附释放等办公室程序对于儿科泌尿病患者来说是安全有效的. 这种方法提供了很高的成功率,解决了医疗保健的限制.

关键词:
割礼 割礼 割礼肉体狭窄症 (meatal stenosis) 是一种体内狭窄症.肉类形术 (meatotomy) 是一种肉类形术.阴茎的粘附性是阴茎的粘附性

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科学领域:

  • 儿科泌尿外科 儿科泌尿外科
  • 基于办公室的程序
  • 当地麻醉局部麻醉

背景情况:

  • 在局部麻醉下进行的办公室程序在儿科泌尿病学中未得到充分利用,现有的文献有限.
  • 新生儿割礼是这种程序普遍接受的一个显著例外.

研究的目的:

  • 介绍在第三级护理中心在局部麻醉下进行的办公室手术的经验.
  • 评估这些门诊手术在儿科患者中的安全性和有效性.

主要方法:

  • 对92名接受肉切割或阴茎粘附释放的儿科患者进行了回顾性研究.
  • 在局部麻醉下在门诊环境下由一名外科医生进行的手术.
  • 2017年1月至2022年8月期间收集的数据.

主要成果:

  • 65名患者患有骨狭窄,27名患者患有阴茎粘附.
  • 报告的高成功率只有四次复发和一个轻微的并发症.
  • 平均随访时间为5.39个月.

结论:

  • 在局部麻醉下办公室的肉切割和阴茎粘附释放是一种安全,简单和有效的治疗选择.
  • 鉴于当前医疗保健的财务和时间限制,这种方法尤为重要.
  • 这项研究表明,这些选择性儿科泌尿外科手术的成功率很高.