Current Urology Reports最新文献

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Genital Mutilation in Males. 男性生殖器切割。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-03-01 DOI: 10.1007/s11934-022-01129-2
Carlos Toribio-Vázquez, Álvaro Yebes, José Quesada-Olarte, Andrea Rodriguez, María Alonso-Bartolomé, Héctor Ayllon, Luis Martinez-Piñeiro
{"title":"Genital Mutilation in Males.","authors":"Carlos Toribio-Vázquez,&nbsp;Álvaro Yebes,&nbsp;José Quesada-Olarte,&nbsp;Andrea Rodriguez,&nbsp;María Alonso-Bartolomé,&nbsp;Héctor Ayllon,&nbsp;Luis Martinez-Piñeiro","doi":"10.1007/s11934-022-01129-2","DOIUrl":"https://doi.org/10.1007/s11934-022-01129-2","url":null,"abstract":"<p><strong>Purpose of the review: </strong>Genital mutilation in males can range from minor injuries (cuts from a blade) to severe urological emergencies (testicular or penile amputation). Due to the rarity of these events, there is a lack of extensive reports, as most of the available literature is regarding single cases. Genital mutilation has been associated with psychotic and non-psychotic causes, psychiatric conditions, drug consumption, sexual practices, or even cultural or religious beliefs. It is crucial to perform a psychiatric evaluation of these patients to obtain the best therapeutic approach. This manuscript serves as a review of the currently available knowledge regarding male genital mutilation.</p><p><strong>Recent findings: </strong>A great variety of reasons have been associated with genital mutilation. Previous authors have distinguished between those that present with a clear mental health precursor from cases with no psychotic background. Nevertheless, sometimes, it is difficult to make this distinction. Recently, reconstructive techniques for amputation cases have moved towards a microsurgical approach in order to improve outcomes. A holistic therapeutic approach must be performed to increase the chances of effective treatment. Close collaboration between urologists, psychiatrists, and emergency doctors is essential to ensure the best care for patients performing genital mutilation. Future publications must evaluate differences in treatment options and the impact that these have on the long-term well-being of patients undergoing genital self-mutilation.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10692002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Should Transperineal Prostate Biopsy Be the Standard of Care? 经会阴前列腺活检应作为标准治疗吗?
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-03-01 DOI: 10.1007/s11934-022-01139-0
Rand N Wilcox Vanden Berg, Arvin K George, Deborah R Kaye
{"title":"Should Transperineal Prostate Biopsy Be the Standard of Care?","authors":"Rand N Wilcox Vanden Berg,&nbsp;Arvin K George,&nbsp;Deborah R Kaye","doi":"10.1007/s11934-022-01139-0","DOIUrl":"https://doi.org/10.1007/s11934-022-01139-0","url":null,"abstract":"<p><strong>Purpose of review: </strong>We reviewed the advantages and disadvantages of transperineal prostate biopsy (TP-bx) to evaluate its potential role as the standard of care for prostate biopsy.</p><p><strong>Recent findings: </strong>Studies have suggested no difference in prostate cancer (PCa) detection rate between TP-bx and transrectal biopsy (TR-bx) but have suggested potentially increased detection of anterior prostate tumors. Advances in anesthetic technique have obviated the need for sedation thus allowing TP-bx to become an office-based procedure, which in turn can decrease the overall cost of TP-bx. Furthermore, given the low rate of infectious complications after TP-bx, some have foregone peri-procedural antibiotics without a change in the rate of infectious complications. Recent procedural advances have made TP-bx a tolerable, office-based procedure. Given the similar diagnostic performance and the benefits for the patient and community, TP-bx should become the standard of care for prostate biopsy for most patients. Future efforts should address the barriers for more universal adoption.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10697086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Conservative Non-surgical Options for Erectile Dysfunction. 保守的非手术治疗勃起功能障碍。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01137-2
Manuel Alonso-Isa, Borja García-Gómez, Ignacio González-Ginel, Clara García-Rayo-Encina, María Del Prado Caro-González, José Medina-Polo, Esther García-Rojo, Javier Romero-Otero
{"title":"Conservative Non-surgical Options for Erectile Dysfunction.","authors":"Manuel Alonso-Isa,&nbsp;Borja García-Gómez,&nbsp;Ignacio González-Ginel,&nbsp;Clara García-Rayo-Encina,&nbsp;María Del Prado Caro-González,&nbsp;José Medina-Polo,&nbsp;Esther García-Rojo,&nbsp;Javier Romero-Otero","doi":"10.1007/s11934-022-01137-2","DOIUrl":"https://doi.org/10.1007/s11934-022-01137-2","url":null,"abstract":"<p><strong>Purpose of review: </strong>This study aimed to review recent evidence on conservative non-surgical options for erectile dysfunction (ED) in men. A narrative review of the literature was performed. A comprehensive search in the MEDLINE, Embase, and Cochrane databases was done. Papers in English language, published from May 2017 until May 2022, were included. Papers reporting basic research or animal research were excluded, as long as reviews or meta-analyses. Congress reports, clinical cases, or clinical trials protocols with no results were also excluded.</p><p><strong>Recent findings: </strong>We found a multitude of different treatment modalities for ED. We must take into account the type of patient, their comorbidities, the origin of their ED, and its severity in order to reproduce effective results using these therapies. Some of the treatments show good results with a good level of evidence (new IPDE5 formulations, intracavernous injections, shock wave therapy, hormonal theraphy, psycho-sexual theraphy). However, others (some new molecules, stem cell theraphy, platelet-rich plasma injections, oxygenation-based therapy, nutraceuticals), although some of them present promising results, require randomized studies with a larger number of patients and a longer follow-up time to be able to establish firm recommendations. Regarding the conservative treatment of erectile dysfunction, in recent years, some therapies have been consolidated as effective and safe for certain types of patients. On the other hand, other treatment modalities, although promising, still lack the evidence and the necessary follow-up to be recommended in daily practice.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10657232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Penile Implant Instrument Innovations. 阴茎植入器械创新。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01136-3
Jose Quesada-Olarte, David Nelwan, Umberto Donato, Raul Fernandez-Crespo, Justin Parker, Rafael E Carrion
{"title":"Penile Implant Instrument Innovations.","authors":"Jose Quesada-Olarte,&nbsp;David Nelwan,&nbsp;Umberto Donato,&nbsp;Raul Fernandez-Crespo,&nbsp;Justin Parker,&nbsp;Rafael E Carrion","doi":"10.1007/s11934-022-01136-3","DOIUrl":"https://doi.org/10.1007/s11934-022-01136-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Numerous innovations have been made since the first inflatable penile prosthesis was introduced in 1973-not just of the implant apparatus itself, but crucially also in the surgical instruments used for prosthetic surgery. Starting with Dr. Furlow's revolutionary inserter tool, advancements were quickly made in dilators, retractors, and cavernotomes.</p><p><strong>Recent findings: </strong>More recent innovations have been made in inserter tools, forceps, needle holders, clamps, and disposable instruments. Leading companies Boston Scientific and Coloplast have contributed significantly to the evolution of IPP surgical placement, and companies such as Uramix and Rigicon are developing a wide array of new specialized tools. We aim to summarize the instruments needed for IPP placement, with a focus on describing the variety of instrument innovations since Dr. Brantley Scott designed and placed the first IPP.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10649108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction. 阴茎多普勒超声诊断勃起功能障碍的研究进展。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01135-4
Kareem Elgendi, Nicholas Zulia, Jonathan Beilan
{"title":"A Review on Penile Doppler and Ultrasonography for Erectile Dysfunction.","authors":"Kareem Elgendi,&nbsp;Nicholas Zulia,&nbsp;Jonathan Beilan","doi":"10.1007/s11934-022-01135-4","DOIUrl":"https://doi.org/10.1007/s11934-022-01135-4","url":null,"abstract":"<p><strong>Purpose of review: </strong>Herein, we seek to review the clinical applications of penile duplex Doppler ultrasound (PDDU) in sexual medicine practices and discuss the indications, protocols, advantages, and limitations of this diagnostic modality. Other more outdated diagnostic tests, such as cavernosometry, are briefly discussed to provide the reader a background of understanding on the evolution of diagnostic testing within the realm of sexual medicine.</p><p><strong>Recent findings: </strong>PDDU has become a key diagnostic tool in the clinical evaluation of both erectile dysfunction (ED) and Peyronie's disease (PD). With the assistance of intracavernosal injections such as alprostadil, clinicians can utilize ultrasound technology to produce a detailed description of the hemodynamics of the patient's erection cycle. This information plays a pivotal role in establishing an accurate diagnosis and creating a sensible management plan for the patient. This review aims to provide a better understanding regarding the technique and interpretation of PDDU as it pertains to male sexual function.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10651235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Urinary Incontinence in Elite Female Athletes. 优秀女运动员尿失禁的研究。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01133-6
Zoe S Gan, Ariana L Smith
{"title":"Urinary Incontinence in Elite Female Athletes.","authors":"Zoe S Gan,&nbsp;Ariana L Smith","doi":"10.1007/s11934-022-01133-6","DOIUrl":"https://doi.org/10.1007/s11934-022-01133-6","url":null,"abstract":"<p><strong>Purpose of review: </strong>To summarize the current understanding on the epidemiology, pathophysiology, and management strategies of urinary incontinence (UI) in female athletes, highlighting findings specific to nulliparous elite athletes.</p><p><strong>Recent findings: </strong>UI occurs in about 20-50% of female athletes of all ages and parity status, around 40% for younger nulliparous athletes, and is more prevalent in high-impact sports. Possible contributing factors to UI in female elite athletes include pelvic floor laxity and bladder neck descent, pelvic floor muscle fatigue, low energy availability, and hypermobility syndrome. In female elite athletes, urinary symptoms negatively affect quality of life, although the effects of symptoms on exercise participation are not well understood. Current management strategies are primarily conservative and centered on behavioral modifications and pelvic floor muscle physiotherapy. UI in female elite athletes appears to be multifactorial. Clarifying how individual factors influence UI in this population will inform athlete counseling, prevention, and treatment strategies.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10656672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Vaginal Hormone Therapy for Conditions of the Lower Urinary Tract. 阴道激素治疗下尿路疾病。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01132-7
Amy Nemirovsky, Natalia Arias Villela, J Christine Yuan, Rohit Patil, Rena D Malik
{"title":"Vaginal Hormone Therapy for Conditions of the Lower Urinary Tract.","authors":"Amy Nemirovsky,&nbsp;Natalia Arias Villela,&nbsp;J Christine Yuan,&nbsp;Rohit Patil,&nbsp;Rena D Malik","doi":"10.1007/s11934-022-01132-7","DOIUrl":"https://doi.org/10.1007/s11934-022-01132-7","url":null,"abstract":"<p><strong>Purpose of review: </strong>Up to half of postmenopausal women experience genitourinary symptoms secondary to hormone deficiency, and there is little consensus on the use of vaginal hormone therapy (VHT) for lower urinary tract symptoms (LUTS) in these patients. This is a review of the scientific literature in the last decade evaluating the use of VHT for disorders of the lower urinary tract including overactive bladder (OAB), stress urinary incontinence (SUI), recurrent urinary tract infections (UTI), and interstitial cystitis/bladder pain syndrome (ICS/BPS).</p><p><strong>Recent findings: </strong>Vaginal estrogen therapy improves OAB symptoms in postmenopausal women, but results are mixed when VHT is used in combination with other treatments. There is inconclusive or limited data for the use of VHT to treat SUI and IC/BPS. Vaginal estrogen and prasterone (DHEA) therapies have demonstrated efficacy as treatment modalities for patients who experience recurrent UTIs. VHT preparations show efficacy for the treatment of certain LUTS and can be considered in carefully selected patients when clinically indicated.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10642493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A Systematic Review of Partner Satisfaction After Penile Prosthesis with Special Emphasis on LGBTQ + Populations. 阴茎假体术后伴侣满意度的系统评价,特别强调LGBTQ +人群。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-02-01 DOI: 10.1007/s11934-022-01126-5
Armaan Singh, Caleb A Cooper, Sean W Hou, Omer A Raheem
{"title":"A Systematic Review of Partner Satisfaction After Penile Prosthesis with Special Emphasis on LGBTQ + Populations.","authors":"Armaan Singh,&nbsp;Caleb A Cooper,&nbsp;Sean W Hou,&nbsp;Omer A Raheem","doi":"10.1007/s11934-022-01126-5","DOIUrl":"https://doi.org/10.1007/s11934-022-01126-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>Despite the current surgical advances and patients' satisfactions after penile prosthesis (PP) implantation, there has been paucity of data on reported partner satisfaction and their quality-of-life (QoL). Our objective was to summarize the current literature on partner satisfaction for both heterosexual and non-heterosexual populations, respectively. We specifically conducted a systematic review according to the Cochrane and Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standards, and stratified studies into three tiers by methodological rigor.</p><p><strong>Recent findings: </strong>After an initial search of 172 articles, 33 studies met the inclusion criteria for the final review: 30 for heterosexual partner satisfaction, and 3 for LGBTQ patient satisfaction were included due to lack of published literature on partner satisfaction for LGBTQ patients. For heterosexual partner satisfaction, 10 studies were classified as Tier 1, 11 studies were classified as Tier 2, and 9 studies were classified as Tier 3. From an initial search of 13 records, three studies consisting of 272 patients met the inclusion criteria for our LGBTQ review. Across all the tiers, studies noted satisfaction rates between 50 and 90% and improved satisfaction and sexual QoL metrics compared to pre-surgery rates. That said, partner satisfaction rates were also consistently lower than patient satisfaction rates. Although the range of evidence quality varies, the available literature suggests significant improvements in and relatively high rates of partner satisfaction after PP implantation. Given the diversity of study designs and widespread use of non-validated or non-specific questionnaires in the current literature, future research should focus on prospective studies and/or data collection using validated, PP-specific questionnaires.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9219862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Microhematuria in Women Presenting for Overactive Bladder. 以膀胱过度活跃为表现的女性微血尿。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-01-01 DOI: 10.1007/s11934-022-01128-3
Karis Buford, Dhaval Jivanji, Allison Polland
{"title":"Microhematuria in Women Presenting for Overactive Bladder.","authors":"Karis Buford,&nbsp;Dhaval Jivanji,&nbsp;Allison Polland","doi":"10.1007/s11934-022-01128-3","DOIUrl":"https://doi.org/10.1007/s11934-022-01128-3","url":null,"abstract":"<p><strong>Purpose of review: </strong>Microscopic hematuria and overactive bladder are two common urologic conditions. The objective of this review is to provide an overview of current literature as well as highlight important guidelines that will aid physicians in the diagnostic workup of microscopic hematuria in patients experiencing symptoms of overactive bladder.</p><p><strong>Recent findings: </strong>Updated microscopic hematuria guidelines provide a structured and appropriate workup for women based on risk factors, which stratifies patients to prevent unnecessary procedures and imaging. Women presenting with microscopic hematuria in the setting of overactive bladder should undergo microscopic hematuria workup according to their risk stratification while receiving appropriate treatment for their overactive bladder. The physician should consider the presence of irritative voiding symptoms during the investigation and management of microscopic hematuria in patients with overactive bladder and should not delay overactive bladder treatment due to the presence of microscopic hematuria.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10523599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Advancements in Surgical Performance Evaluation and Feedback. 外科手术效果评价与反馈研究进展。
IF 2.6 2区 医学
Current Urology Reports Pub Date : 2023-01-01 DOI: 10.1007/s11934-022-01134-5
Kate H Kraft
{"title":"Advancements in Surgical Performance Evaluation and Feedback.","authors":"Kate H Kraft","doi":"10.1007/s11934-022-01134-5","DOIUrl":"https://doi.org/10.1007/s11934-022-01134-5","url":null,"abstract":"<p><strong>Purpose of review: </strong>How today's urology trainees acquire surgical skills has changed dramatically due to multiple forces placing strain on the graduate medical education mission. The development of workplace-based assessments that deliver feedback while capturing performance data has led to a paradigm shift toward individualized learning.</p><p><strong>Recent findings: </strong>Delivering feedback that drives surgical skill development requires the educator to provide a meaningful assessment of the learner after an operative experience. Workplace-based assessment involves direct observation of routine clinical practice and has become a central component of competency-based medical education. Urology has the chance to fully embrace competency-based medical education, employing robust feedback mechanisms and workplace-based assessments. We must first define what it means to be a proficient urologist and design an assessment system that captures this collective sentiment. This can only be done through effective engagement and collaboration with stakeholders across our specialty.</p>","PeriodicalId":11112,"journal":{"name":"Current Urology Reports","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9086692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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