排泄道畸形：案例研究

English | 2024 | ISBN: 9781003275442 | 291 pages | True PDF | 74.26 MB

Within the field of pediatric colorectal and pelvic reconstruction, the most complex anatomic problem a pediatric surgeon can face is that of a cloacal malformation. The urinary tract, gynecologic system, and distal bowel all fuse into a single common channel which must be surgically reconstructed. The care of patients with a cloaca is daunting, and the spectrum of anatomic variations very wide. In this book about cloaca, the authors have brought organization to the complex, providing basic principles of care, from fetal and newborn management to the reconstruction of bowel, gynecologic systems, and urinary tracts as well as the care of patients after surgery to puberty and beyond.

This is a comprehensive account of all elements of care for the cloaca patient. It includes preoperative evaluation and surgical planning, the anorectal malformation (ARM) index, surgical reconstruction, urological evaluation and long-term care. Also covered are the gynecologic evaluation and intervention, neurological implications, bowel management and the long-term management of patients with cloacal malformations. Case studies provide valuable insights into a wide range of clinical scenarios, never previously categorized so comprehensively. These studies enable the reader to understand and gain experience from detailed descriptions. Fully illustrated, in color, and with further resources available online, this is a unique resource for all clinicians within the pediatric team caring for patients with cloacal malformations.

In addition, specialists across numerous fields, including colorectal surgery, urology, gynecology, and gastrointestinal motility, as well as neonatology, orthopedics, neurosurgery, anesthesia, radiology, psychology, social work, nutrition, and nursing, will find this practical clinical text and its online resources to be an invaluable when dealing with the complex needs of the cloaca patient.

在小儿结肠直肠及盆腔重建领域中，小儿外科医生面临的最复杂的解剖学问题是肛门畸形。泌尿系统、妇科系统以及远端肠道都融合成为一个单一的通道，必须进行手术重建。肛门畸形患者的护理极具挑战性，且解剖变异范围很广。在这本关于肛门的书中，作者们将复杂情况组织起来，提供了基本护理原则，从胎儿和新生儿管理到肠管、妇科系统以及泌尿系统的重建护理，还包括患者术后至青春期后的长期护理。 本书全面概述了肛门患者的全部护理内容。其中包括术前评估与手术规划、肛门直肠畸形（ARM）指数、外科重建、泌尿科检查与长期护理等。还涉及妇科检查与干预、神经学影响、肠道管理以及肛门畸形患者术后至青春期后的长期护理。病例研究提供了广泛临床情景的宝贵见解，这些情景从未如此全面分类过。这些研究使读者能够从详细描述中理解并获得实践经验。 图文并茂，色彩丰富，并在线资源可获取，这本独一无二的资源适用于所有参与肛门畸形患儿护理工作的儿科团队成员。 此外，来自小儿外科、泌尿科、妇科、胃肠动力学以及其他领域如结肠手术、神经外科、麻醉学、放射学、心理学、社会工作、营养学和护理的专业人士，在处理复杂需求时将发现这本临床指南及其在线资源极为宝贵。

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