阿富汗任务期间的泌尿病学:经验教训和对未来的影响
Justine Schoch1, Cord Matthies2, Holger Heidenreich3
1Department of Urology, Federal Armed Forces Hospital Koblenz, Koblenz, Germany.
World journal of urology
|June 23, 2023
概括
部署环境中的泌尿科医生每天管理一个门诊患者,与战斗相关的伤害 (BRI) 经常影响外部生殖器官. BRI需要超越典型的民用泌尿外科的高级外科技能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 军事医学 军事医学
- 创伤外科 手术 创伤外科
背景情况:
- 在现代战争中,泌尿生殖系统受伤是一个重大问题.
- 在西方国家,民用泌尿器官损伤相对罕见.
研究的目的:
- 评估部署在军事环境中的外科医生的泌尿病工作量和手术需求.
- 区分与战斗相关的和与战斗无关的泌尿干预.
主要方法:
- 五年来,美国在阿富汗的军事设施进行了尿道病例的回顾性分析.
- 将手术干预分为与战斗有关的 (BRIs) 和与战斗无关的 (non-BRIs) 的分类.
主要成果:
- 德国泌尿外科医生每天处理大约一个泌尿外科患者,在五年内进行了314次手术.
- 与战斗相关的干预 (53.8%) 主要涉及外部生殖器,而非BRI (46.2%) 专注于内分泌学.
- 观察到阴囊干预的显著差异:BRIs包括更多的阴囊探索 (58.2%),而非BRIs参与的较少 (p<0.001).
结论:
- 部署的泌尿外科门诊护理反映了民间实践,但与战斗有关的伤害需要专业技能.
- 部署手术需要熟练掌握腹部/关节手术和重建性泌尿外科手术.
- BRI的独特性质强调了为军事泌尿科医生提供量身定制的外科培训的必要性.
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