在成年人中创建的大陆导管道的结果
Kostantinos E Morris1, Ramzy Burns1, Victoria Snook1
1Department of Urology, Indiana University School of Medicine, Indianapolis, IN.
Urology
|July 18, 2025
概括
由于膀功能障碍而接受大陆导管 (CCC) 程序的成年人显示,75.7%的长期通道使用率. 虽然发生了尿路感染和泄漏等并发症,但CCC为管理复杂的膀问题提供了可行的解决方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 患者的治疗结果.
背景情况:
- 大陆导管管道 (CCC) 程序用于膀功能障碍.
- 关于长期CCC结果的现有文献主要集中在儿科患者群体上.
- 关于成年CCC结果的数据仍然有限,需要进一步调查.
研究的目的:
- 为了评估经过大陆导管 (CCC) 程序的成年患者的长期结果.
- 确定并发症,并评估CCC在患有各种膀病理的成年患者的持续效用.
主要方法:
- 从2013年3月到2024年2月进行CCC创建的成年患者的回顾性图表审查.
- 收集的数据包括人口统计,病史,术后细节和术后并发症.
- 主要结果:无需重新操作;次要结果:长期使用道和泄漏.
主要成果:
- 44名成年患者被发现患有CCC.
- 神经性膀 (59.5%) 和耐火性失禁 (21.6%) 是主要的指示.
- 长期并发症包括复发性尿道感染 (18.2%) 和尿道失禁 (18.2%).
- 在中位数61个月的随访期间,持续使用CCC的比例为75.7%.
结论:
- 这项研究是迄今为止对长期CCC结果的最大规模的以成人为中心的分析.
- 尽管存在潜在的并发症,CCC在成年人中表现出持续的效用.
- 通过咨询和对替代方案的进一步研究来改善患者选择可以提高满意度.
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