在儿科患者复杂膀外流中进行腹腔内射:一项回顾性观察性研究
Çiğdem Arslan Alıcı1, Baran Tokar2
1Department of Pediatric Urology, University of Health Sciences Eskisehir City Hospital, Eskisehir, Turkey.
Advances in medical sciences
|January 19, 2026
概括
尿管下注射 (SUI) 和尿管再植入显示在儿童治疗尿管下逆流 (VUR) 的成功率相似. SUI是一个可行的选择,特别是对于年长的儿童,低度VUR.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 手术干预 手术干预
- 膀直肠回流管理 膀直肠回流管理
背景情况:
- 膀外流 (VUR) 是儿童常见的疾病,需要有效治疗.
- 对VUR的外科选择包括腹膜注射 (SUI) 和尿管再植入 (UR).
- 在复杂的儿科VUR病例中评估治疗有效性至关重要.
研究的目的:
- 为了比较SUI与UR在治疗儿科VUR中的有效性.
- 确定SUI是否减少了重复手术的需要,特别是在复杂的VUR病例中.
- 评估不同VUR等级和患者人口统计学中的SUI和UR的成功率.
主要方法:
- 对132名VUR儿童的回顾性分析,分为简单 (n=65) 和复杂 (n=67) 病例.
- 诊断VUR和复杂的病理通过空白囊尿表图 (VCUG) 和囊镜检查证实.
- VUR分级遵循国际反流研究委员会的分类;治疗包括SUI和静脉尿管内尿管结囊术 (UNC).
主要成果:
- 复杂的病理包括双重系统,膀分泌器,管和后尿道.
- SUI的成功率为65.6%,相比之下,UR的成功率为70.6% (p=0.68).
- 在0-2岁的高度VUR (5级:45%) 和脏痕 (48%) 的儿童中观察到较低的成功率.
结论:
- SUI和UR在治疗简单和复杂VUR时表现出相似的疗效.
- SUI为儿科VUR提供了可行的一线手术选择,特别是在2年以上的低度反流患者中.
- 需要进一步的研究来验证这些发现并优化治疗策略.
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