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生殖尿道外体:20年的经验和来自单一中心的结果
Claris Oh1,2, Darcy Noll3, Athul John1,3
1Urology Unit, Flinders Medical Centre, Bedford Park 5042, Australia.
Asian journal of andrology
|November 19, 2024
概括
自己插入的生殖泌尿外体是一个日益严重的泌尿突发症. 大多数病例涉及塑料管,并通过内镜检索成功治疗,尽管有些人需要进行开放式手术.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 紧急医疗 紧急医疗
- 精神病学是一个精神病学.
背景情况:
- 尿路下部的外体对泌尿道来说是一个很大的挑战.
- 生殖尿路外体的管理策略是高度可变的.
- 外体自我插入生殖尿路是一种公认的,尽管不常见的临床表现.
研究的目的:
- 分析自我插入的生殖尿外体的趋势和结果.
- 为了确定患者的人口统计,异物类型和相关的并发症.
- 评估第三级护理环境中的检索技术和并发症.
主要方法:
- 从2002年10月到2022年10月的回顾性队列研究.
- 包括具有自我插入的生殖尿道外体的成年患者.
- 提取有关人口统计,异物体类型,精神病并发症,检索方法,并发症和再录取的数据.
主要成果:
- 确定了27例病例,中位数年龄为44岁;85.2%是男性.
- 塑料管/电线是最常见的异物 (29.6%).
- 观察到表现的显著上升趋势 (曼-肯德尔=0.95,P=0.043).
- 在74.1%的病例中,内镜检索成功;11.1%的病例需要开放式囊切除.
结论:
- 在过去二十年中,自我插入的生殖尿管外体呈现的趋势一直在上升.
- 内镜治疗是主要的,往往是成功的治疗方式.
- 显著比例的患者患有精神病并发症,这表明需要综合护理.
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