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关于管理一次性阻塞性大尿路的共识是否存在?
Romy Gander1, Marino Asensio1, Manuel Lopez2
1Department of Pediatric Surgery, Pediatric Urology and Renal Transplant Unit, University Hospital Vall d´Hebron Barcelona, Hospital Vall d´Hebron, Barcelona, Spain.
Urology
|November 9, 2024
概括
儿科泌尿科医生 儿科泌尿科医生
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术创新 在外科创新.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 主要阻塞性大尿道 (POM) 管理指南于2014年由英国儿科泌尿科医生协会制定.
- 关于POM当前诊断和治疗策略的专家共识正在发展.
研究的目的:
- 调查专家对初级阻塞性大尿素 (POM) 诊断和管理的意见.
- 将当前的专家实践与2014年英国儿科泌尿科医生协会建议进行比较.
主要方法:
- 通过eUROGEN网络和协会,向儿科泌尿科医生分发了一份在线调查.
- 该调查包括14个问题,数据收集于2023年2月至6月.
- 文献综述补充了调查数据.
主要成果:
- 有103名专业人员 (96.1%的儿科泌尿科医生) 参与了调查.
- 67.3%的人赞成POM的持续抗生素预防.
- 诊断通常结合了DRF,串行扫描变化和超声检测结果;11.9%的人会在孤立的初始DRF<40%的情况下进行手术.
结论:
- 目前的POM管理趋势可能与2014年BAPU指南有所不同.
- 专家意见表明,需要更新关于POM诊断和手术指示的共识.
- 高压内镜气球扩张是一种受欢迎的临时干预.
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