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膀外收缩时 Hernia 修复时间: 一个系统的审查

Niklas Pakkasjärvi¹, Christopher Gossler², Wolfgang Rösch³

¹Department of Pediatric Surgery, Section of Urology, Helsinki University Hospital, Helsinki, Finland; Faculty of Medicine, University of Turku and Vaasa Central Hospital, Finland.

Journal of pediatric urology

|June 10, 2025

概括

在膀外缩 (BE) 手术期间同时修复 inguinal hernias 是可行的,但需要进一步的研究来优化技术和患者选择在BE患者中这种常见的疾病.

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
遗传异常是一种先天性异常.

背景情况:

膀外缩 (BE) 是一种罕见的先天性异常,患上相关 inguinal 的发病率很高,特别是在男性中.
在BE患者中, inguinal hernia 修复的最佳时间仍然是争论的主题.
目前的方法包括在初级膀关闭期间的修复或延迟的症状修复.

研究的目的:

在患有膀外缩的患者中系统评估 inguinal 修复的最佳时间.
综合当前关于BE. inguinal的手术方法和结果的文献.

主要方法:

按照PRISMA指南进行了系统审查.
在PubMed,Web of Science和Scopus进行了搜索.
包括14项涉及1042名BE患者的研究.

主要成果:

在1042名BE患者中,有537名 (84%男性) 接受了 inguinal hernia 修复.
同时进行 inguinal hernia repair (CIH) 在38%的病例中进行,其中67%需要双边修复.
研究设计和手术技术的异质性限制了直接比较.

结论:

在初级外缩外科手术期间,同时进行双边沟探索和选择性沟修复,可能会减少手术负担.
由于研究设计的局限性和复发率,需要进一步的研究来完善外科技术并优化患者选择.
在BE中优化 inguinal hernia 修复的时间和方法对于改善患者结果至关重要.

关键词:

膀外收缩膀外收缩内 Hernia 是一个内.程序上的负担.复发情况复发情况系统性审查系统性审查

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