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J-GLOBAL ID：202002281911177813   整理番号：20A2697084

緊急精巣固定術後の精巣捻転症小児における精巣萎縮の危険因子【JST・京大機械翻訳】

Risk Factors for Testicular Atrophy in Children With Testicular Torsion Following Emergent Orchiopexy

著者 (26件)： Tian Xiao-Mao (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Tian Xiao-Mao (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Tian Xiao-Mao (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China) ,  Tan Xiao-Hui (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Tan Xiao-Hui (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Shi Qin-Lin (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Shi Qin-Lin (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Shi Qin-Lin (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China) ,  Wen Sheng (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Wen Sheng (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Lu Peng (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Lu Peng (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Liu Xing (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Liu Xing (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Liu Xing (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China) ,  Li Xu-Liang (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Li Xu-Liang (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  He Da-Wei (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  He Da-Wei (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  He Da-Wei (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China) ,  Lin Tao (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Lin Tao (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Lin Tao (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China) ,  Wei Guang-Hui (Department of Urology, Children’s Hospital of Chongqing Medical University, Chongqing, China) ,  Wei Guang-Hui (Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatrics, National Clinical Research Center for Child Health and Disorders, China International Science and Technology Cooperation Base of Child Development and Critical Disorders, Child...) ,  Wei Guang-Hui (Chongqing Medical University, Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering, Chongqing, China)
資料名： Frontiers in Pediatrics (Web)  (Frontiers in Pediatrics (Web))
巻： 8  ページ： 584796  発行年： 2020年 
JST資料番号： U7090A  ISSN： 2296-2360  資料種別： 逐次刊行物 (A)
記事区分： 原著論文  発行国： スイス (CHE)  言語： 英語 (EN)

抄録/ポイント： 【目的】精巣捻転(TT)の小児における精巣萎縮症(TA)の危険因子を,突発性精巣固定後に分析する。【方法】手術時の年齢,患側,遅延手術(12~24時間,24時間以上),超音波検査(ETPU)における精巣実質のエコー原性,カラードップラー超音波検査(CDUS),外科的所見(術中血液供給,捻転の程度,および外科的アプローチ),および追跡調査を含む,TTを受けた患者の臨床データを,遡及的にレビューした。一次転帰は,精巣固定後のTAの率であった。二次転帰は,影響を受けた精巣と反対側の間の精巣容積損失(TVL)であった。【結果】合計113人の患者を本研究に登録し,年齢中央値は11歳であった。追跡期間中央値は21か月であった。患者は,追跡中に重度のTAを発症した51.02%の中央値TVLと44(38.94%)であった。TAは手術時の年齢と有意に関連していた(P<0.0001),遅延手術(P=0.0003),ETPU(P=0.0001)および術中血液供給(P=0.0005)。多変量ロジスティック回帰分析は,学齢の子供(OR=0.069,P<0.001)および思春期(OR=0.177,P=0.007)が就学前児童と比較してTAのリスクが低下し,不均一なETPU(OR=14.489,P=0.0279)および遅延手術>24時間(OR=3.921,P=0.040)がTAのリスクを増加させることを示した。多変量解析により,ETPU(F=16.349,P<0.001)および遅延手術(F=6.016,P=0.003)は,TVLに対する独立危険因子であり,手術時の年齢,遅延手術,およびETPUは,緊急性精巣固定後のTTの小児におけるTAの予測に重要な役割を果たす可能性がある。さらに,CDUSで測定した血流は転帰を適切に予測できなかった。Copyright 2020 The Author(s) All rights reserved. Translated from English into Japanese by JST.【JST・京大機械翻訳】

シソーラス用語： 多変量解析 ,  超音波検査 ,  血流 ,  *精巣 ,  子供 ,  救急療法 ,  思春期 ,  *萎縮症 ,  *危険因子 ,  追跡調査
準シソーラス用語： *捻転 ,  *睾丸萎縮 ,  多変量ロジスティック回帰分析 , 【Automatic Indexing@JST】

著者キーワード (6件)： 小児科 ,  精巣捻転症(TT) ,  萎縮 ,  危険因子 ,  泌尿生殖器系 ,  救急治療

分類 (1件)： 泌尿生殖器の疾患  (GM03000L)

引用文献 (18件)：

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タイトルに関連する用語 (5件)： 精巣固定術 ,  精巣捻転症 ,  小児 ,  精巣萎縮 ,  危険因子