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上囊泡切除按:说明,并发症和膀的结果
Roma Subhash Varik1, Niamh Geoghegan1, Diane De Caluwe1
1Department of Paediatric Urology, West London Children's Hospital Alliance, Chelsea & Westminster Hospital Foundation Trust, 369 Fulham Road, London SW10 9NH, United Kingdom.
Journal of pediatric urology
|November 13, 2024
概括
按囊管术为患有膀问题的儿童提供了干净间歇性导管 (CIC) 的安全替代方案. 许多患者的膀功能得到改善,最终在治疗后可以通过尿道排尿.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 膀管理 膀管理
背景情况:
- 在尿道阻塞或神经性膀的儿童中,膀切除按排水是干净间歇性导管 (CIC) 的替代方案.
- 它提供了一个大陆排水选项,可能改善生活质量,并促进所培训.
研究的目的:
- 评估按膀切除术在15年队列中的指示,并发症和长期膀功能结果.
- 评估上扣排水作为二线膀管理策略的有效性和安全性.
主要方法:
- 对29名接受AMT的儿童进行了回顾性分析. 迷你一个胃口插入按.
- 收集的数据包括人口统计数据,手术的指示,并发症和长期膀容量和切除后的排空.
主要成果:
- 在29名儿童 (平均年龄为3.5岁) 中没有观察到短期并发症.
- 常见的并发症包括尿路感染 (31%),泄漏 (28%) 和阻塞 (7%).
- 在10年的随访中位数,48%的人仍然在排水,21%的人进展到米特罗法诺夫导管,31%的人不再需要按,实现了良好的尿道空化.
结论:
- 上按排水是安全有效的二线选择,对于无法执行CIC的儿童.
- 该程序可以是暂时的,通过改善膀功能来解决,或长期的慢性疾病.
- 按膀术可以导致膀功能障碍的持续解决,改善生活质量.
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