双边腹内丸的管理策略:来自第三级儿科中心的见解
Ahmed O Mohamed1, Nadeem Al-Khafaji1, George Bethell1
1Department of Pediatric Surgery, Alderhey Children's Hospital, E Prescot Rd, Liverpool, L14 5AB, United Kingdom.
Journal of pediatric urology
|April 5, 2025
概括
对于双边腹内丸 (BIAT) 的分阶段 Fowler-Stephens orchidopexy (FSO) 显示了82%的成功率. 建议采用这种方法来管理BIAT,以改善儿科手术的结果.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
背景情况:
- 密码症影响2至4%的男性新生儿,双边腹内丸 (BIAT) 带来了独特的管理挑战.
- 建议在3-12个月之间进行兰花术,以减轻与未下降的丸相关的风险.
- 福勒-斯蒂芬斯兰花术 (Fowler-Stephens orchidopexy,简称FSO) 是一种手术技术,用于复杂的密码体病例.
研究的目的:
- 在双边腹内丸 (BIAT) 患者中审查双边福勒-斯蒂芬斯桃症 (FSO) 的结果.
- 为了增强BIAT病例的手术前咨询.
- 促进BIAT的管理共识的发展.
主要方法:
- 对2005-2021年儿科外科三级中心数据的回顾性分析.
- 包括为BIAT进行双边分阶段 орхидопекси的患者.
- 对临床记录的审查,重点关注丸大小,位置和程序结果 (分阶段与非分阶段).
主要成果:
- 30名BIAT患者接受了FSO,其中24人使用腹腔镜技术,6人使用开放技术.
- 在27名患者中进行了分阶段的手术,整体成功率为82%,丸缩14%,升3.5%.
- 第一次手术的平均年龄为1.7岁;50%患有并发症,只有8人接受了内分泌评估.
结论:
- 阶段性福勒-斯蒂芬斯兰花症 (FSO) 证明了双边腹内丸 (BIAT) 管理的良好结果.
- 针对性管理方法对于BIAT至关重要.
- 需要进行进一步的研究,以建立最佳BIAT管理策略的最终共识指南.
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