Zeng Yefeng, Huang Shaogang, Yang Zhilin, Gu Xianbin, Sun Xuerui, Chen Pengyu, Li Shoulin
Department of Urology, Shenzhen Children's Hospital, China Medical University, Shenzhen, Guangdong, China.
Department of Urology, Shenzhen Pediatrics Instutute of Shantou University Medical College, Shenzhen, China.
Front Pediatr. 2025 Jan 15;13:1439854. doi: 10.3389/fped.2025.1439854. eCollection 2025.
To analyze the clinical data of five patients involving intravesical magnetic beads, summarizing diagnostic and therapeutic experiences.
From January 2018 to November 2023, five pediatric patients were treated for intravesical magnetic beads at Shenzhen Children's Hospital. We retrospectively reviewed and analyzed the records of these patients, including demographic characteristics, clinical symptoms, imaging studies, and treatment methods.
All intravesical magnetic beads were retrieved from patients' bladders. The patients ranged from 12 to 14 years, with a mean age of 13 years. None of them had a history of psychiatric disorders. Depending on the number of magnetic beads, their aggregation state, and the time since insertion, Three cases were successfully retrieved via cystoscopy, one via pneumovesicoscopy, and another via open surgery. No complications were observed during the postoperative follow-up.
Magnetic beads are a relatively rare type of intravesical foreign bodies and should be surgically removed as soon as possible. Cystoscopy is the first method for both diagnosis and treatment. When magnetic beads cannot be retrieved via cystoscopy, pneumovesicoscopy may be a viable option for the retrieval of foreign bodies. When endoscopic techniques are unsuitable or have failed, open surgery is a necessary option.
分析5例膀胱内磁珠患者的临床资料，总结诊断和治疗经验。
2018年1月至2023年11月，深圳市儿童医院对5例膀胱内磁珠患儿进行了治疗。我们回顾性分析了这些患者的记录，包括人口统计学特征、临床症状、影像学检查和治疗方法。
所有膀胱内磁珠均从患者膀胱中取出。患者年龄在12至14岁之间，平均年龄13岁。他们均无精神疾病史。根据磁珠数量、聚集状态及置入时间，3例经膀胱镜成功取出，1例经充气膀胱镜取出，另1例经开放手术取出。术后随访未观察到并发症。
磁珠是一种相对罕见的膀胱内异物，应尽早手术取出。膀胱镜检查是诊断和治疗的首选方法。当磁珠无法经膀胱镜取出时，充气膀胱镜检查可能是取出异物的可行选择。当内镜技术不适用或失败时，开放手术是必要的选择。
