在患有神经性下泌尿道功能障碍的患者中手术插入阴茎上导管:重新审视了一种古老的方法
Jürgen Pannek1,2,3, Jens Wöllner1,2
1Neuro-Urology, Schweizer Paraplegiker Zentrum, Nottwil, Switzerland.
Urologia internationalis
|July 20, 2025
概括
通过腹腔切除术插入阴茎上导管 (SPC) 是神经性下尿路功能障碍患者无法使用穿尿管导管的安全选择. 这种技术提供了耐受性良好,长期的膀管理解决方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技巧 手术技巧
- 神经性膀管理的神经性膀管理
背景情况:
- 间歇性导管是神经性下尿路功能障碍 (NLUTD) 的标准.
- 一些NLUTD患者需要在自导管不可行时使用内置导管.
- 皮肤上导管 (SPC) 插入是常见的,但并发症可能会排除这种微创方法.
研究的目的:
- 评估通过腹腔切除术在NLUTD患者中插入上导管 (SPC) 的安全性和有效性.
- 评估这种手术方法的并发症率,临床结果和泌尿动力学结果.
主要方法:
- 通过腹腔切除术进行SPC插入的24名NLUTD患者的回顾性图表分析.
- 评估并发症率,临床过程,以及手术后的泌尿动力学发现.
主要成果:
- 在24名患者中有23名通过腹腔切除术成功安置SPC.
- 随访时间中位数为37个月,所有患者仍然在导管内.
- 术后并发症发生在20.8%的患者中,其中12.5%需要手术干预.
结论:
- 通过腹腔切除术插入阴茎上导管 (SPC) 是对精选的NLUTD患者的一种安全有效的程序.
- 这种技术为依赖穿尿道导管的患者提供了可行的替代方案.
- 拉巴切除术辅助的SPC插入显示了令人满意的长期结果和良好的耐受性.
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