带有神经性膀的儿童的按囊管术:来自单一中心的结果
Michela Galati1, Rebecca Pulvirenti1, Ida Barretta1,2
1Division of Neuro-Urology, Bambino Gesù Children's Hospital, IRCCS, ERN eUROGEN Affiliated Center, Piazza di Sant'Onofrio 4, 00165 Rome, Italy.
Journal of clinical medicine
|August 14, 2025
概括
按囊管术 (BC) 为儿科神经性膀 (NB) 患者提供了一种安全有效的微创性选择,用于清洁间歇性导管 (CIC) 不可行时的尿道排水. 这种保护膀的方法显示了高的患者满意度和低的并发症率.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 膀管理 膀管理
背景情况:
- 儿童的神经性膀 (NB) 可能导致重复性尿路感染和损伤等严重并发症.
- 干净间歇性导管 (CIC) 是标准的,但由于患者特定的问题,并不总是可行.
- 按囊静止术 (BC) 是一种保持膀的,最少侵入性的尿路转移替代方案.
研究的目的:
- 评估按囊管术 (BC) 在儿科神经性膀 (NB) 患者的长期可行性,安全性和结果.
- 在侵入性和并发症率方面,将BC与其他尿路转移技术进行比较.
主要方法:
- 对33名儿科NB患者的回顾性分析,这些患者在2020年至2024年期间接受了内镜按囊管切除术 (BC).
- 收集的数据包括人口统计,手术时间,并发症和随访结果.
- 所有程序都使用了囊镜指导来准确放置设备.
主要成果:
- 平均操作时间为48.5分钟.
- 在平均2.1年的随访期间,只有15.2%的患者患有发烧性尿路感染,6.1%的患者有轻微的泄漏;没有报告重大并发症.
- 观察到高家庭满意度 (93.9%),大多数情况下成功管理,很少需要替代干预.
结论:
- 透视按囊管切除术 (BC) 是小儿小便排水的安全,有效和最少侵入的选择.
- 与米特罗法诺夫转移等技术相比,BC表现出较低的侵入性和并发症率.
- 建议进行进一步的前性研究,以确认长期疗效并支持更广泛的采用.
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