副甲状腺功能低下与膀功能障碍有关,这是一项初步研究
Işılay Taşkaldıran1, Şerife Mehlika Kuşkonmaz2, Aykut Uçar3
1Department of Endocrinology and Metabolic Diseases, Ankara Training and Research Hospital, Ankara, Turkey. dr.isilaymenekse@hotmail.com.
Scientific reports
|April 29, 2025
概括
在头部和部手术后的术后缺甲状腺症 (HP) 与膀功能障碍有关. 患有HP的患者表现出下游泌尿道症状的增加和更高的排尿后残留物,表明需要监测.
科学领域:
- 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.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 在头部和部手术后的甲状腺功能低下症 (HP) 可以导致低热血症和相关的健康问题.
- 膀功能障碍是这些患者潜在的,但尚未研究的并发症.
研究的目的:
- 为了评估更低的尿路 (UT) 功能在绝经前妇女与手术后的HP.
- 为了比较HP患者和健康对照人群之间的膀功能指标.
主要方法:
- 尿流量测量用于测量尿液流速.
- 经过验证的问卷,包括过度活跃的膀验证8 (OAB-V8) 和间歇性囊炎症状指数/间歇性囊炎问题指数 (ICSI/ICPI),评估了下游尿道症状.
- 排尿后残留物 (PVR) 在偏偏甲状腺症和对照组中都被测量.
主要成果:
- 与对照组相比,手术后HP患者报告ICSI,ICPI和OAB-V8得分显著更高.
- 在手术后的HP组中观察到较高的空腹后残留物 (PVR) 水平.
- 在尿道症状得分 (ICSI,ICPI,OAB-V8),PVR和血清/副甲状腺激素 (PTH) 水平之间发现了负相关性.
结论:
- 手术后的缺甲状腺症与明显的下游泌尿道功能障碍有关.
- 膀功能障碍和相关症状应考虑在手术后HP患者的管理.
相关概念视频
Disorders of the Urinary System
172
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
172
Physiology of Urine Formation
2.1K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
2.1K
The Micturition Reflex
268
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
268
Urinary Bladder
222
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
222
The Parathyroid Glands
1.8K
The two pairs of parathyroid glands embedded within the posterior surface of the thyroid gland are restricted by a dense capsule around them. These glands comprise two distinct cell populations—parathyroid oxyphil and parathyroid principal cells- pivotal in calcium homeostasis.
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
Oxyphil cells, whose functions remain elusive, emerge during late puberty, adding a layer of complexity to the parathyroid gland's intricacies. In contrast, principal parathyroid cells undertake a vital role by...
1.8K


