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典型膀外缩症的长期尿路结果:广泛的随访结果
Sarah Abdellaoui1,2, Fabiana Cazzorla3, Nicolas Morel-Journel4
1Service d'Urologie Pédiatrique, Hôpital Femme Mère Enfant, Hospices Civils de Lyon, Lyon, France.
BJU international
|February 26, 2025
概括
经典膀外置 (CBE) 手术的长期结果表明,实现尿性 (UC) 需要多个手术步骤. 在接受CBE治疗后,女性通常会比男性更好地获得尿路结果.
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
- 重建性手术是一种重建性手术.
背景情况:
- 经典膀外缩 (CBE) 是一种复杂的先天性异常,需要进行手术纠正.
- 长期的功能性结果,特别是尿液和便的节,对于患者的生活质量至关重要.
- 评估抑郁的预测因素对于优化外科手术策略至关重要.
研究的目的:
- 评估经过经典膀外置 (CBE) 手术后的长期尿失禁 (UC) 和便失禁 (FC).
- 确定预测成年CBE患者成功节结果的因素.
- 用验证的问卷来进行全面的功能评估.
主要方法:
- 追溯性,观察性,单中心队列研究 (QUALEXSTRO).
- 包括15岁或以上接受CBE治疗的患者.
- 评估UC和FC使用国际咨询失禁问卷-尿失禁简短表格 (ICIQ-UI SF) 和便失禁生活质量表 (FIQL).
主要成果:
- 在63名符合条件的患者中,有42人有反应 (66.7%的反应率).
- 大多数患者 (88.1%) 患有现代阶段的修复外遗症和 (95.2%) 骨盆骨折.
- 30.9%的人实现了尿失禁 (ICIQ-UI SF分数=0),其中3人自发排尿,10人使用干净的间歇性自导管 (CISC).
- 在女性中,尿度得分明显更好 (P=0.002).
- 大多数患者报告没有关于便节 (FC) 的担忧.
结论:
- 在经典膀外缩 (CBE) 中实现尿性 (UC) 取决于初始和随后的手术干预.
- 成年后自发性尿道空白在CBE患者中并不常见.
- 与男性相比,女性患者表现出优异的尿结局.
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