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对于性别确认手术进行整形外科的结果:国家手术质量改善计划研究
Anna J Saltman1, Miguel I Dorante1, Michael M Jonczyk1
1Lahey Hospital & Medical Center, Burlington, MA.
Urology
|July 21, 2023
概括
与非癌症原因的 cisgender orchiectomy (CGO) 相比,变性器官切除术 (TGO) 的安全性和并发症率相似. 近年来,TGO程序的数量大幅增加.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 确立性别的手术.
- 手术成果研究的研究结果.
背景情况:
- 整形外科手术用于各种非瘤病症,包括性别障碍症和丸疼痛.
- 了解外科手术期间的结果对于患者护理和外科手术规划至关重要.
研究的目的:
- 为了评估跨性别器官切除术 (TGO) 的术后结果.
- 为了比较TGO结局与非瘤学指示的 cisgender orchiectomy (CGO).
主要方法:
- 对国家外科质量改进计划 (NSQIP) 数据库 (2010-2020) 的回顾性分析.
- 包括因性别失调症,丸扭曲或丸疼痛而经历简单的桃切除术的患者.
- 统计分析使用威尔奇的两样品t测试,奇平方测试和趋势分析.
主要成果:
- 对于丸扭曲 (3.7%与4.4%) 或丸疼痛 (3.7%与5.9%) 的TGO和CGO整体并发症率没有显著差异.
- 在TGO组内,根据并发症发生情况,没有观察到患者特征的差异.
- 从2015年到2020年,每年有9.5个TGO病例的显著增加,而CGO病例没有显著的时间变化.
结论:
- 变性器官切除术 (TGO) 是一种安全的门诊手术,具有可接受的并发症概况.
- 对于类似的非瘤指标,TGO的结果与 cisgender orchiectomy (CGO) 的结果相似.
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