肛门直肠畸形患儿泌尿系统的管理——当代综述
Management of the urological tract in children with anorectal malformations - a contemporary review.
作者信息
Harris Kelly T, Wilcox Duncan T
机构信息
Division of Urology, Department of Surgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, 13123 E 16 Ave. Aurora, CO 80045, USA.
Division of Urology, Department of Surgery, Children's Hospital Colorado, University of Colorado Anschutz Medical Campus, Aurora, CO, USA.
出版信息
Ther Adv Urol. 2023 Mar 21;15:17562872231161468. doi: 10.1177/17562872231161468. eCollection 2023 Jan-Dec.
Anorectal malformations (ARMs) consist of a broad spectrum of congenital anomalies that are associated with an equally wide variety of urological abnormalities, often with increasing incidence as the severity of the ARM increases. The importance of urologic involvement in the care of ARM patients has been noted for decades and is critical from birth to adulthood. Urology must be involved in the initial evaluation and operative care of the child as well as in monitoring and managing issues such as neurogenic bladder, renal disease, and eventually sexual function and fertility. Care of the ARM patient must be done through a multidisciplinary lens, with the urologist as a key player. This review will serve as an update on the management of the urologic tract in children with ARM.
肛门直肠畸形（ARMs）包括一系列广泛的先天性异常，这些异常与同样多种多样的泌尿系统异常相关，通常随着ARM严重程度的增加而发病率上升。几十年来，人们已经注意到泌尿外科参与ARM患者护理的重要性，并且从出生到成年都至关重要。泌尿外科必须参与儿童的初始评估和手术护理，以及监测和管理诸如神经源性膀胱、肾脏疾病以及最终的性功能和生育能力等问题。对ARM患者的护理必须通过多学科视角进行，泌尿外科医生是关键角色。本综述将作为ARM患儿泌尿系统管理的最新情况。
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