性别是否会影响逆行性内外科手术 (RIRS) 的结果? 来自灵活性尿道透视结果注册表 (FLEXOR) 的数据
E Emiliani1, I Sanz-Gómez1, B Somani2
1Servicio de Urología, Fundación Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain.
Actas urologicas espanolas
|June 27, 2023
概括
性别可能会轻微影响灵活尿道镜检查 (RIRS) 的结果. 女性患者出现了更高的发烧和残留石头,但败血症风险仍然相似. 在适当的照顾下,RIRS对女性来说是安全的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医学研究 医学研究
背景情况:
- 灵活尿道透视 (RIRS) 是对结石的一种成熟的手术.
- 患者性别对RIRS结果和并发症的影响尚未得到充分证实.
研究的目的:
- 评估性别在灵活尿道镜检查 (RIRS) 的结果和并发症中的作用.
主要方法:
- 从2018年1月到2021年8月,对6669名因结石接受RIRS治疗的患者进行了回顾性分析.
- 收集的数据包括人口统计,石头特征,外科手术期间的发现,结果和并发症.
- 男性和女性患者组之间的结局和并发症的比较.
主要成果:
- 女性患者的发烧率显着更高 (12%vs. 8%) 和尿液培养结果呈阳性 (37%vs. 34%).
- 女性住院时间略长 (3.8 vs 3.5 天),残留碎片发病率较高 (23.03% vs 20.97%).
- 总体而言,女性的并发症略高 (15.74%对14%),主要是由于发烧,性别之间毒症的发病率相似.
结论:
- 女性性别可能与RIRS后残留碎片和低度并发症的风险略有增加有关.
- 在女性患者中可以安全地进行RIRS,只要采取适当的护理来减轻发烧等风险.
- 诸如较大的石头尺寸和多个石头等因素会对结果和并发症率产生负面影响.
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