未经证实:儿童下尿路有异物(FBs)的报道很少,他们的管理仍然具有挑战性。本研究旨在描述儿童下尿路FBs的特点和治疗。
UASSIGNED:我们回顾性分析了2017年8月至2022年8月在我们医院切除的下尿路FBs的临床数据,包括人口统计学,location,症状,影像学检查,和治疗。
未经批准:招募了四名男性患者,他们的年龄从9到13岁不等,平均年龄11岁.病程为3h至2周。对其影像学特征进行了回顾和分析,两个FB位于膀胱中,两个位于尿道中。在一种情况下,使用蚊虫钳通过尿道去除痤疮针。3例首次尝试膀胱镜检查,其中仅有一项是在内窥镜微创手术下成功切除FB.在其余两种情况下,经尿道膀胱镜切除失败,从而导致膀胱切开术。FB包括跳绳,发夹,磁珠,和痤疮针。术后恢复顺利,随访3~6个月无并发症发生。
UNASSIGNED:儿童下尿路有FBs很少见。早期诊断,以及下尿路FBs的适当管理,可以显著减少并发症。手术切除下尿路FBs是安全有效的,可以取得相对更好的结果。
UNASSIGNED: Children with foreign bodies (FBs) in the lower urinary tract have rarely been reported, and their management remains challenging. This study aimed to describe the characteristics and treatment of FBs in children\'s lower urinary tract.
UNASSIGNED: We retrospectively analyzed the clinical data on lower urinary tract FBs that were removed in our hospital from August 2017 to August 2022, including demographics, location, symptoms, imaging examinations, and treatment.
UNASSIGNED: Four male patients were enrolled, whose ages ranged from 9 to 13 years, with a mean age of 11 years. The course of the disease ranged from 3 h to 2 weeks. Their imaging characteristics were reviewed and analyzed, and two FBs were located in the bladder and two in the urethra. Mosquito forceps were used to remove an acne needle through the urethra in one
case. Cystoscopy was first attempted in three cases, in only one of which was the FB removed successfully under endoscopic minimally invasive surgery. In the remaining two cases, removal via transurethral cystoscopy failed, whereby leading to cystotomy being performed. The FBs comprise a skipping rope, hairpin, magnetic bead, and acne needle. The postoperative recovery was uneventful, and no complications occurred during the follow-up period of 3 to 6 months.
UNASSIGNED: It is rare for children to have FBs in the lower urinary tract. An early diagnosis, as well as appropriate management of lower urinary tract FBs, can significantly reduce complications. Surgical removal of lower urinary tract FBs can be safe and effective, and relatively better outcomes can be achieved.