相关实验视频
Updated: Jan 12, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
预后因素在内镜治疗膀管外流的回流
C Pérez Costoya1, A Gómez Farpón1, M J Martínez Urrutia2
1Pediatric Surgery Department. Hospital Universitario Central de Asturias. Oviedo, Asturias (Spain).
膀管外流 (VUR) 的内镜治疗是有效的,特别是在低度病例中. 高度VUR和较年轻的治疗年龄是成功修复VUR的不良预后指标.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
背景情况:
- 膀回流 (VUR) 管理,特别是内镜治疗,已经引起了有效性争论.
- 确定影响VUR内镜修复成功的因素对于患者的治疗结果至关重要.
研究的目的:
- 确定成功内镜治疗先天性膀外流 (VUR) 的预后因素.
主要方法:
- 对167个经过内镜治疗的先天性VUR (2000-2020) 的尿道单位 (UU) 进行了回顾性分析.
- 五年后续进行临床和放射学评估.
- 治疗成功的定义在于在术后囊回形图上没有VUR.
主要成果:
- 总体而言,内镜治疗的成功率为92.8%.
- 在80%的UU中观察到高度VUR (III-V).
- 预后不佳的因素包括高度VUR (p=0.02),治疗时的年龄较小 (p=0.001),以及更大的手术前脏骨盆AP直径 (p=0.001).
- 低级VUR在第一个手术中取得了90.9%的成功.
- 虽然23%的人有其他泌尿器官形,但这并没有显著影响成功 (p=0.08),尽管45%需要多次治疗.
结论:
- 内镜VUR治疗显示出高效率,特别是在低度反流.
- 高度VUR和早期治疗年龄是较差结果的重要预测因素.
- 同时存在的泌尿器官形不会对内镜VUR治疗成功率产生负面影响.
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