的纵向长度的减少是预测儿童皮叶造形术成功的可靠工具
Dogancan Dorucu1, Kader Ada Dogan1, Onur Can Ozkan2
1Department of Urology, School of Medicine, Marmara University, Istanbul, Turkey.
概括
脏纵向的长度 (LL) 显著下降后,为尿路皮层结节阻塞 (UPJO). 这种LL的减少可以作为骨前后直径 (RPAPD) 的可靠替代方案,用于监测UPJO治疗结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗成像医学成像
- 外科手术的结果
背景情况:
- 尿道盆腔结阻塞 (UPJO) 是一种常见的先天性异常.
- 骨盆前后直径 (RPAPD) 是UPJO诊断和管理的一个关键指标.
- 需要替代,更简单的 UPJO 后续测量方法.
研究的目的:
- 评估尺寸的实用性,特别是纵长 (LL) 和横幅 (TW),作为RPAPD的替代品.
- 为了评估UPJO.pyeloplasty后脏尺寸的变化.
主要方法:
- 对接受热塑性手术的儿童 (2012-2024) 的回顾性分析.
- 排除具有混尿路疾病的病例.
- 超声波 (US) 测量结果的比较 (RPAPD,水解度,LL,TW) 手术前后.
主要成果:
- 皮叶造形术后6个月观察到RPAPD和LL的显著下降 (分别p < 0.0001和p = 0.005).
- 受影响脏和逆侧脏之间的LL比率也显著下降 (p = 0.026).
- 在TW或其比率上没有发现任何重大变化.
结论:
- 在UPJO中,的纵向长度 (LL) 升高,并且在发热造形术后显著减少.
- 在LL的下降提供了一个简单和可靠的测量为后皮叶造型术后的后续.
- 在管理UPJO时,LL可以作为RPAPD的有价值的辅助或替代品.
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