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单侧反流是否对后尿道患者有保护作用?
Kadir Emre Baltaci1, Ali Cansu Bozaci2, Mesut Altan3
1Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey. kadiremrebaltaci@gmail.com.
Pediatric surgery international
|April 16, 2025
概括
在患有后尿道 (PUV) 的患者中,单侧逆流似乎对功能产生保护作用,与没有逆流相比. 这表明在这些情况下考虑切除术时需要谨慎.
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.
- 医疗成像医学成像
背景情况:
- 后尿道 (PUV) 是男性婴儿膀出口阻塞的常见原因.
- 在PUV患者的结结果中,单边膀外流 (VUR) 的作用仍在争论中.
- 了解潜在的保护机制,包括单方面VUR,对于最佳的患者管理至关重要.
研究的目的:
- 评估单边VUR对诊断为PUV的患者功能方面的保护作用.
- 为了比较PUV患者与单边VUR,双边VUR和没有VUR之间的结局.
- 为了研究门单侧反流 (VURD) 对单侧VUR患者功能的影响.
主要方法:
- 在1986年至2023年期间治疗的92名男性PUV患者的回顾性分析.
- 根据VUR状态 (单边,双边,没有) 和VURD.患者的分类.
- 评估功能使用光学扫描和血清肌水平,通过特定年龄规范定义的异常功能.
主要成果:
- 与没有VUR或单边VUR (p <0.05) 患者相比,双边VUR的患者表现出明显较差的结局.
- 单侧VUR患者的脏结局与没有VUR的患者相似.
- 异常功能分布在单边VUR患者中是相似的,无论VURD状态如何.
结论:
- 在PUV患者中单侧VUR显示出对功能的保护作用,类似于在没有VUR的患者中观察到的.
- 在单侧VUR患者中,双侧形形 (VURD) 的存在并没有显著改变结局.
- 在PUV患者中,由于反流的潜在保护作用,在单边VUR患者中,应该谨慎考虑腎切除术.
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