石性的系统审查:诊断挑战,外科演变和结果
Fahim Kanani1,2, Khaled Otman1, Alaa Zahalka1
1Department of Surgery B, Wolfson Medical Center, Gray Faculty of Medicine, Tel Aviv University, Holon, Israel.
The American surgeon
|September 19, 2025
概括
坐骨架是罕见的,影响老年妇女,经常涉及尿管. 最少侵入性手术改善了结果,而尿路支架为高风险患者提供了替代方案.
科学领域:
- 骨盆地板手术 骨盆地板手术
- 罕见的带是罕见的
- 胃肠道手术 胃肠道手术
背景情况:
- 石性是非常罕见的骨盆底缺陷,由于不经常发生和微妙的症状,造成诊断和治疗挑战.
- 1750年首次描述,全球记录的病例不到100例,这突显了它们的罕见性.
研究的目的:
- 系统地审查和分析已记录的脊椎间的病例,以了解人口统计,表现,诊断和管理.
- 为了评估不同手术和保守方法的疗效,以治疗石性.
主要方法:
- 在PubMed,Embase和Cochrane数据库 (1947-2024) 中按照PRISMA指南进行了系统的文献搜索.
- 从68篇已识别的文章中提取了数据,重点关注患者人口统计学,临床特征,诊断方式,内容,手术技术和患者结果.
主要成果:
- 该研究发现,在腰椎中,女性占主导地位 (98.5%),患者平均年龄为71岁.
- 尿管 (58.8%) 是最常见的结构,大多数患者 (80.9%) 缺乏外部迹象,延迟了诊断.
- 计算机断层扫描 (CT) 是主要的诊断工具,经常揭示尿路科学的"卷曲标志". 管理包括微创手术,开放手术和尿管支架,腹腔镜/机器人方法显示更短的住院时间和更少的疼痛.
结论:
- 坐骨架需要高度的临床怀疑,特别是在老年女性中,有不明原因的骨盆或坐骨架疼痛.
- 与开放性修复相比,微创手术技术改善了结果,减少了住院时间和疼痛.
- 考虑到患者因素,的含量和外科专业知识的个性化治疗至关重要,尿管支架是特定病例的可行选择.
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