隔离性腹腔镜外膀尿道再植入 (I-LEVUR) 用于上部外宫尿道,没有下部膀尿道逆流
1Department of Pediatric Surgery, Netaji Subhash Chandra Bose Government Medical College, Jabalpur, 482003, India. drvikeshagrawal@gmail.com.
Pediatric surgery international
|November 1, 2024
概括
隔离性腹腔镜外膀尿道再植入 (I-LEVUR) 是一种安全有效的治疗方法,用于上部分外宫尿道. 这种最少的侵入性方法可以避免重新植入正常的尿管,从而带来良好的结果和改善的 incontinence.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 尿道重建 尿道重建
背景情况:
- 双重系统可能会导致上部外阴尿道,往往需要手术纠正.
- 传统的再植入可能涉及对正常尿管的不必要操纵.
- 保持正常的尿路孔对于最佳结果至关重要.
研究的目的:
- 评估隔离腹腔镜外膀尿道再植入 (I-LEVUR) 的可行性和结果.
- 评估I-LEVUR专门用于非反流性下部尿道的上部外性尿道.
- 为了确定I-LEVUR是否可以避免重新植入正常的下部部分孔.
主要方法:
- 在2013年至2024年期间,对12名接受异位泌尿器I-LEVUR治疗的患者进行了回顾性审查.
- 手术前的成像包括超声波,VCUG和MRU/RGP.
- 腹腔镜外视术技术仅专注于宫外尿管,保留正常的尿管.
主要成果:
- 在12名患者中没有观察到手术后并发症.
- 随访时间中位数为78.5个月,没有显示出尿管阻塞或重大并发症.
- 所有患者都经历了尿失禁的改善;轻微的反流和尿泄漏得到了保守的管理.
结论:
- I-LEVUR 是一种可行且有效的替代方案,可以替代传统的 en bloc 植入,用于上部外宫尿道.
- 这种技术通过保留正常的尿道孔来减少手术创伤.
- 优良的功能和尿失禁结果支持I-LEVUR的使用,并建议进一步研究.
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