脑膜切除术对于儿童完整双重系统上极功能不佳的作用
Hakan Keskin1, Ihsan Batuhan Demir2, Serdar Tekgul2
1Department of Urology, Hacettepe University Hospital, Sıhhiye, 06100, Ankara, Turkey. kesknhkn@gmail.com.
Pediatric surgery international
|January 7, 2026
概括
上极半切除术对于双重系统是有效的,在大多数情况下避免了开放膀手术. 然而,女性患者和患有高度膀外流 (VUR) 的患者可能需要进一步的程序.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术管理的手术管理.
- 腎臟系統解剖學 腎臟系統解剖學
背景情况:
- 双重脏系统的管理是有争议的,其中包括保守护理,微创手术或开放手术等选择.
- 上极半切除术旨在在功能不佳的双重系统中保持下尿路功能.
研究的目的:
- 为了评估双重系统的儿童上极半切除术的结果.
- 为了确定该程序后重新操作的风险因素.
主要方法:
- 对36名接受上极半切除术的儿科患者 (2014-2024) 的回顾性分析.
- 评估包括临床数据,成像和随访结果 (短期和长期).
- 将需要重新手术的患者与没有手术的患者进行比较.
主要成果:
- 该队列包括28名女性和8名男性;手术时的平均年龄为36.1个月.
- 一名患者因短期尿液泄漏需要重新手术.
- 在平均29.8个月的随访期间,8名患者需要额外的手术 (骨切除,内镜或抗反流手术).
- 高度膀回流 (VUR) 和手术时年轻的年龄是重新手术的风险因素.
结论:
- 在97%的患者中,上极半膜切除成功避免了开放性膀手术.
- 建议为女性患者和高度VUR患者提供咨询,以了解由于VUR和感染而导致的潜在二次手术.
- 手术前的VUR状态是额外手术可能性的关键驱动因素.
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