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一夜间膀排水对后尿道后果的影响:一项随机对照试验
Ahmed Elkashef1, Ahmed Abdelhalim1, Mohamed S Dawaba1
1Department of Urology, Urology and Nephrology Center, Mansoura University, Egypt.
Journal of pediatric urology
|December 17, 2024
概括
隔夜膀排水 (OBD) 改善了男孩在后尿道切除后的白天禁欲和上泌尿道问题. 遵守OBD对于这些好处至关重要,尽管它仍然是一个问题.
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.
- 儿科手术 儿科手术
背景情况:
- 后尿道 (PUV) 即使在成功的内镜切除 (EVA) 后,也可能导致持续的水 (HN) 和膀功能障碍.
- 在EVA后对剩余的上部通道和膀问题进行管理需要进一步的研究.
研究的目的:
- 评估一夜间膀排水 (OBD) 对功能,水缩和膀功能在男孩持久性HN后EVA的影响.
- 在12个月的随访后评估结果,包括节制,发烧性尿路感染 (UTI) 和功能.
主要方法:
- 一个随机对照试验,涉及男孩持久性HN后EVA.
- 患者被分配到夜间膀排水 (OBD) 或没有OBD,接受标准护理.
- 测量结果包括遵从性,白天禁欲,尿路感染,功能,HN,膀回流 (VUR) 和膀形态.
主要成果:
- 与没有OBD组相比,OBD组在白天节制,水,VUR和膀容量方面表现出显著的改善.
- 两组之间没有观察到发烧性尿路感染,功能,膀壁厚度或空虚后残留尿液的显著差异.
- 在12个月的随访期间,报告的OBD符合率为87.04%.
结论:
- 一夜间的膀排水可能有助于改善白天的禁欲,水,VUR和EVA后男孩的膀形态.
- OBD似乎不会对功能产生负面影响或增加发烧性尿路感染.
- 确保患者遵守OBD协议对于实现最佳结果至关重要.
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