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尿路转移对脏功能的影响,后部尿道门和尿道塞的阻塞
Hamid Arshadi1, Iman Menbari Oskouie2, Mahsa Ghozatloo1
1Pediatric Urology and Regenerative Medicine Research Center, Children's Medical Center, Gene, Cell, and Tissue Research Institute, Tehran University of Medical Sciences, Tehran, 1419733151, Iran.
International urology and nephrology
|November 14, 2024
概括
尿路转移改善了脏参数,如盆腔和尿路直径,以及后尿道 (PUV) 和尿路关阻塞 (UVJO) 的患者的膜厚度. 这些改善在UVJO病例中更为明显.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术的结果
背景情况:
- 后尿道 (PUV) 和尿道结阻塞 (UVJO) 是导致儿童下尿道阻塞的主要原因.
- 暂时的尿路转移有时需要管理并发症,如感染或恶化的水.
研究的目的:
- 在PUV和UVJO患者的尿路转移后评估脏参数.
- 为了比较PUV和UVJO案件中转移的有效性.
主要方法:
- 对67名PUV或UVJO患者 (2015-2020年) 的回顾性分析,这些患者接受了尿路转移治疗.
- 收集的数据包括人口统计数据,手术类型 (皮叶静止/尿静止),血清肌素和超声波测量 (APP,APU,PT).
- 通过Dimercapto succinic acid (DMSA) 扫描进行转移前和后评估的功能.
主要成果:
- 在PUV和UVJO两组中,尿路转移显著改善了骨盆前后直径 (APP),尿道前后直径 (APU) 和体厚度 (PT).
- 对于这两组人来说,DMSA扫描结果显示功能没有显著变化.
- 与PUV患者相比,UVJO患者的APP改善显著更大.
结论:
- 尿路转移似乎有利于改善PUV和UVJO的儿科患者的特定脏超声波参数.
- 在UVJO病例中,对骨盆直径的积极影响更为显著.
- 建议进行进一步的多中心研究,并进行延长的随访,以验证这些发现.
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