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在婴儿期进行的低血压手术的青春期后结果:对尿功能的高度满意度和最低的下游尿路症状
Annaleena Anttila1, Niklas Pakkasjärvi2, Seppo Taskinen2
1Department of Pediatric Surgery, Section of Pediatric Urology, Helsinki University Hospital and University of Helsinki, Helsinki, Finland; Department of Pediatric Surgery, Tampere University Hospital, Tampere, Finland.
Journal of pediatric urology
|September 28, 2025
概括
缺症修复后的长期下泌尿道症状 (LUTS) 是罕见的,与对照组相比较. 早期检测和管理像狭窄这样的并发症是良好的泌尿功能结果的关键.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科手术的结果
- 下尿道的症状 下尿道的症状
背景情况:
- 婴儿时期的缺症修复可能会产生长期影响.
- 在青春期后评估下泌尿道症状 (LUTS) 对于评估手术成功至关重要.
研究的目的:
- 为了评估长期的LUTs在hypospadias修复后的青春期后患者.
- 为了将手术患者的LUTS与健康的对照组进行比较.
- 为了确定低血压症严重程度和狭窄并发症对LUTS的影响.
主要方法:
- 在176名青春期后患者中,使用DAN-PSS问卷评估了患者报告的LUTS.
- 患者在婴儿时期 (平均年龄为1.4岁) 接受了hypospadias修复.
- 结果与健康的对照组进行了比较,并分析了低血压症严重程度和狭窄治疗的影响.
主要成果:
- 在平均年龄为16.3岁时,19%的患者已经接受了收缩治疗.
- 频繁或严重扰乱的排空/储存症状很少见,与对照组相比 (p > 0.05).
- 低度的严重程度和先前的狭窄治疗没有显著影响LUTS的发生.
结论:
- 大多数患者报告说,在尿路整形术后,他们对尿路功能感到满意.
- 长期的LUTS在治疗并发症后不会显著增加,如果并发症得到管理.
- 结构化的后续对检测和治疗并发症至关重要,以确保最佳的长期结果.
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