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study the result of treatment of B-HCG for bilateral cryptorchidism A Prospective Study in Al-Assad University Hospital in Lattakia between 2014-2016

دراسة نتائج علاج الخصية المختفية ثنائية الجانب ب ال B-HCG دراسة استقبالية في مشفى الأسد الجامعي في اللاذقية بين عامي 2014-2016

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 Publication date 2016
  fields Medicine
and research's language is العربية
 Created by Shamra Editor




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The study was carried out in Al-Assad University Hospital in Lattakia in surgery department for a period of two years (2014 – 2016). There were 52 patients with 104 undescended testises , their ages were between (6 months -5 years) .The objects of this study were as following: 1- study the result of treatment of B-HCG for bilateral cryptorchidism. 2- Study the optimal age for the application of hormonal treatment with B HCG . Ultrasound (US) was done to 39 patients (75%) to find the abnormalities of urinary tract, and the results were negative. The mean age was 2,5 . There were 29 patients (55.77 %) who were less than 2 years of age. Patients were followed for six months . There was success after six months of treatment 34,61 % of the total sample for bilateral cryptorchidism , 13,64 % of the total sample for one side . if treatment was early , the success rate would be better . the preferred age for treatment of B Hcg is less than 2 years of age .


Artificial intelligence review:
Research summary
أجريت هذه الدراسة في مشفى الأسد الجامعي في اللاذقية بين عامي 2014-2016 على 52 مريضًا يعانون من الخصية المختفية الثنائية الجانب. هدفت الدراسة إلى تقييم فعالية العلاج الهرموني باستخدام B-HCG في إنزال الخصيتين ودراسة العمر الأمثل لتطبيق هذا العلاج. تم تقسيم المرضى إلى مجموعات عمرية مختلفة، وتمت متابعتهم لمدة ستة أشهر بعد العلاج. أظهرت النتائج أن نسبة النجاح في إنزال الخصيتين كانت 34.61% بعد ستة أشهر من العلاج، بينما كانت نسبة النجاح لإنزال خصية واحدة 13.46%. تبين أن العلاج المبكر قبل عمر السنتين يزيد من فعالية العلاج. كما أظهرت الدراسة أن معظم حالات التأخير في العلاج كانت بسبب جهل الأهل. أوصت الدراسة بضرورة توعية الأهل بأهمية العلاج المبكر للخصية المختفية لتجنب المضاعفات المستقبلية مثل العقم وزيادة نسبة الخباثة.
Critical review
دراسة نقدية: تعتبر هذه الدراسة مهمة في مجال علاج الخصية المختفية، إلا أن هناك بعض النقاط التي يمكن تحسينها. أولاً، كان من الأفضل تضمين مجموعة مقارنة لمراقبة فعالية العلاج بشكل أفضل. ثانيًا، كان من الممكن توسيع فترة المتابعة لأكثر من ستة أشهر لتقييم النتائج على المدى الطويل. ثالثًا، لم تتناول الدراسة بشكل كافٍ الآثار الجانبية المحتملة للعلاج الهرموني على المدى الطويل. وأخيرًا، كان من الممكن تحسين توعية الأهل من خلال برامج تعليمية أكثر شمولاً وتفصيلاً.
Questions related to the research
  1. ما هو الهدف الرئيسي من الدراسة؟

    الهدف الرئيسي من الدراسة هو تقييم فعالية العلاج الهرموني باستخدام B-HCG في إنزال الخصيتين المختفيتين الثنائية الجانب وتحديد العمر الأمثل لتطبيق هذا العلاج.

  2. ما هي نسبة النجاح في إنزال الخصيتين بعد ستة أشهر من العلاج؟

    نسبة النجاح في إنزال الخصيتين بعد ستة أشهر من العلاج كانت 34.61%.

  3. ما هي الأسباب الرئيسية لتأخير العلاج بحسب الدراسة؟

    الأسباب الرئيسية لتأخير العلاج كانت جهل الأهل بنسبة 94.23% وخطأ طبي بنسبة 5.77%.

  4. ما هي التوصيات الرئيسية التي خلصت إليها الدراسة؟

    التوصيات الرئيسية هي ضرورة العلاج المبكر للخصية المختفية قبل عمر السنتين وتوعية الأهل بأهمية التدبير المبكر لتجنب المضاعفات المستقبلية.


References used
KBILI . A , ZLEKHAH . A . Anatomy of thorax ,abdomen and pelvis .3Books and Publications Directorate , Syria , 1995 , 368
KLAASSEN,Z. W, GEST,T.R . Male Reproductive Organ Anatomy . Medscape USA. Vol. 76 , N . 8, 2013, 38-213
SCHNECK , F, BELLINGER, M.F . Abnormalities of Testis and Scrotum . Campbell , 8 SAUNDERS , USA ,2002, 3831
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