泌尿疗法和生物反治疗在功能障碍排泄中的有效性以及影响成功的因素
Bekir Erdeve1, Serdar Moralıoğlu1
1University of Health Sciences Turkey, Hamidiye Faculty of Medicine, Department of Pediatric Surgery, Istanbul Zeynep Kamil Women and Children's Diseases Health Training and Research Center, Zeynep Kamil Mahallesi, Dr. Burhanettin Ustunel Sokagi No:10, Uskudar, 34668, İstanbul, Turkey.
Journal of pediatric urology
|June 19, 2025
概括
泌尿疗法和生物反 (UT/BF) 有效地治疗儿童的功能障碍排泄,无论患者的年龄或性别等特征,成功率很高. 这种综合方法对于大多数儿科患者来说是一个合适的第一线治疗方法.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 儿童健康 儿童健康
- 泌尿器官功能障碍 泌尿器官功能障碍
背景情况:
- 功能障碍性排空 (DV) 是儿童发病的常见原因,其特点是关节过度活跃,没有解剖学或神经学缺陷.
- 有效的治疗策略对于改善受影响儿童的生活质量至关重要.
研究的目的:
- 评估泌尿疗法和生物反 (UT/BF) 在治疗儿科功能障碍排泄时的疗效.
- 确定影响DV患者治疗结果的因素.
主要方法:
- 在157名被诊断为DV的儿科患者中,对174次UT/BF治疗周期进行了回顾性审查.
- 对患者人口统计,尿动力学参数 (UFM) 和空气后残留量 (PVR) 的分析.
- 使用曼-惠特尼U,Wilcoxon,chi-squared,Fisher的精确和物流回归测试进行统计分析.
主要成果:
- 观察到高的治疗成功率:每周期87%的完整反应和每患者88.54%的完整反应.
- 没有发现年龄,性别,入院原因,UFM参数或PVR量对治疗成功的统计学意义上的影响.
结论:
- 结合泌尿疗法和生物反 (UT/BF) 在治疗儿科功能障碍排泄方面表现出高效.
- 无论分析的特征如何,UT/BF对于所有研究的患者群体都是合适的第一线治疗选择.
- 建议进行进一步的随机对照试验,以巩固治疗指南.
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