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在成年人中高泌尿器鼻腔的管理:一个范围审查
Muhammed A Moukhtar Hammad1, Nardeen Magdy Samaan2, Gamal Ghoniem1
1Department of Urology, University of California Irvine, Orange, CA 92868, USA.
Medicina (Kaunas, Lithuania)
|February 26, 2025
概括
成年人的持续性泌尿器官鼻 (PUGS) 存在复杂的管理挑战. 这份综述强调了多样化的外科手术技术和需要多学科护理的需要,强调了长期结果数据中的差距.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 儿科手术 儿科手术
- 遗传异常是一种先天性异常.
背景情况:
- 持续性泌尿器鼻腔 (PUGS) 是一种罕见的先天性异常,阴道和尿道合并成一个单一的通道.
- 由于缺乏标准化的治疗指导方针,对成年人高泌尿器官鼻 (HUGS) 的管理具有挑战性.
研究的目的:
- 探索当前关于成人患者高泌尿器鼻 (HUGS) 管理的证据.
- 专注于外科手术技术,结果,术后护理和成人HUGS病例的后续治疗.
主要方法:
- 使用PubMed,Scopus和谷歌学者进行了范围审查,直到2024年8月.
- 包括专注于成人HUGS人群的临床,诊断或治疗数据的研究.
- 数据提取和研究选择遵循PRISMA-ScR指南.
主要成果:
- 包括9项研究,详细介绍了各种手术方法,如女性化生殖器官整形和机器人辅助动员.
- 报告的并发症包括阴道狭窄,抽和失禁;长期结果,性功能和患者满意度都未得到报道.
- 激素疗法,如葡萄糖皮质激素,对于管理与先天性上腺增生 (CAH) 相关的HUGS至关重要.
结论:
- 成人HUGS的管理需要一个多学科的方法,结合先进的外科技术和量身定制的术后护理.
- 虽然短期的外科手术结果往往是有利的,但长期关于性功能和生活质量的数据存在重大差距.
- 未来的研究应该优先考虑纵向研究,以改善手术结果,患者满意度和心理社会福祉.
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