皮革与通过尿道的cystolithotripsy对于管理的膀结石在学龄前男孩:前性随机研究
Ahmed Mahmoud Hasan1, Ahmed Abolyosr Mohammed1, Mohammad Sayed Abdel-Kader1
1Urology Department, Faculty of Medicine, South Valley University, Qena, Egypt.
Journal of pediatric urology
|July 23, 2025
概括
穿皮囊 (PCCL) 和穿尿道囊 (TUCL) 在小男孩的膀结石中表现出类似的成功率和并发症率. 在PCCL手术中,手术时间较短,而石头的大小对这两种手术的结果都有影响.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 在儿童中治疗膀结石会带来独特的挑战.
- 穿皮囊 (PCCL) 和穿尿道囊 (TUCL) 是常见的治疗选择.
- 在学龄前男孩中,有效性和安全性的比较数据有限.
研究的目的:
- 为了比较PCCL与TUCL在学龄前男孩的膀结石方面的疗效和安全性.
- 确定影响治疗成功和并发症的因素.
主要方法:
- 随机对照试验涉及150名学龄前男孩,单个膀结石≤20毫米.
- 患者被分配到PCCL或TUCL组 (每组75人).
- 收集的数据包括石材特性,手术参数和术后结果.
主要成果:
- 无论是PCCL还是TUCL,都显示出相似的成功率和并发症概况.
- 过尿道囊泡 (TUCL) 的运行时间明显较长 (p = 0.003).
- 持续的术后出血在TUCL组中更为频繁 (p = 0.003).
- 石块大小和手术时间被确定为影响两种手术成功和并发症的关键因素.
结论:
- 在小男孩的膀结石治疗中,PCCL和TUCL的疗效和安全性相似.
- PCCL可能会在较短的运行时间中提供优势.
- 石材的特性和运行时间是结果的关键决定因素,无论采用哪种技术.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
29
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
29
Urologic Endoscopic Procedure: Cystoscopic Examination
358
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
358
Urinary Tract Calculi III: Medical Management
24
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
24
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
161
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
161
Urinary Tract Calculi I: Introduction
47
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
47
Urinary Tract Calculi V: Nursing Management
29
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
29


