延迟的初级膀外缩闭是新的常态吗? 对史诗宇宙数据库的分析
Kiarad Fendereski1, Ranjiv I Mathews2, Anthony J Schaeffer1
1Division of Urology, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT.
Urology
|July 25, 2025
概括
初级膀外缩 (BE) 关闭的年龄已经转向延迟的手术,从出生后的第一周内移动到2012年至2023年间的两个月. 骨盆骨切除术很少与BE关闭同时进行.
科学领域:
- 儿科手术 儿科手术
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 发展生物学 发展生物学
背景情况:
- 膀外缩 (BE) 是一种罕见的先天性异常,需要进行手术纠正.
- 初级BE关闭的最佳时间仍然是正在进行的临床讨论的主题.
- 以前的趋势表明,早期,立即的产后关闭是标准的护理.
研究的目的:
- 为了研究初级膀外缩 (BE) 关闭时的年龄趋势.
- 为了测试假设,BE关闭的中位数年龄已经转向延迟干预.
- 分析与关闭时间有关的相关外科手术程序和结果.
主要方法:
- 史诗宇宙数据库 (2012-2023) 的回顾性分析.
- 使用诊断和程序代码识别膀外缩 (BE) 患者.
- 评估初级BE关闭时的年龄,骨盆骨切除术,腹膜修复,并发症和停留时间.
主要成果:
- 确定了149名BE关闭的患者;7%的患者同时进行了表皮修复,35%的患者有骨盆骨切除.
- 大多数的骨盆骨切除术 (85%) 是在延迟BE关闭 (>7天) 的患者中进行的.
- 在BE关闭时的平均年龄从出生1周内 (研究早期) 转移到≥2个月 (研究后期).
结论:
- 在2012年至2023年期间,出现了向延迟初级膀外缩 (BE) 关闭的显著转变.
- 延迟关闭越来越多地与骨盆骨质切除有关.
- 同步的骨盆骨切除术与BE关闭仅在三分之一的病例中进行.
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