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膀功能障碍的男孩可能有后部尿道 - 一个简单的框架来帮助调查调查
Benjamin Wagstaff1, Gayathri Panabokke1, Andrew Barker1
1Perth Children's Hospital, 15 Hospital Ave, Nedlands, Western Australia, 6009, Australia.
Journal of pediatric urology
|September 22, 2024
概括
检测到后尿道 (PUV) 在32.8%的膀功能障碍 (BD) 的男孩进行囊尿透镜. 切除PUV并没有显著改善这一队列中的临床结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 儿科手术 儿科手术
背景情况:
- 膀功能障碍 (BD) 是儿科泌尿病学中常见的转诊症,影响高达10%的儿童.
- 患有BD的男孩有较高的后尿道 (PUV) 发病率,但囊尿透镜的诊断标准仍然不清楚.
研究的目的:
- 为了确定在4至16岁的男孩中检测PUV的可能性,BD接受了cystourethroscopy.
- 评估PUV切除是否改善了该患者组的临床结果.
主要方法:
- 对247名患有BD的男孩 (4至16岁) 的回顾性审查,将他们转介给儿科泌尿科医生.
- 排除已知道或脊柱病理的患者.
- 根据症状和调查结果将患者分为四组,并对治疗结果进行随访.
主要成果:
- 在32.8%的男孩中发现了后部尿道 (PUV).
- 在患有BD,血,尿道炎和超声波变化的患者中,PUV发病率最高 (52%).
- 在接受PUV切除的男孩和没有接受PUV切除的男孩之间,没有发现症状改善的显著差异.
结论:
- 在患有BD的4-16岁男孩中,检测PUV的概率为32.8%.
- 该研究提出了一个框架,使用临床标准来指导囊回收镜转诊.
- 建议进行进一步的前性研究,以调查患有BD的男孩的PUV.
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