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在一次切割手术后,是否与排空功能障碍相关联?
Eduardo Morán Pascual1, Ander Zabalo2, Oriol Colet Guitert2
1La Fe University and Polytechnic Hospital, Valencia, Spain - edumoranpascual@gmail.com.
Minerva urology and nephrology
|July 24, 2023
概括
在压力性尿失禁 (SUI) 手术前的detrusor低活性 (DU) 不会影响手术成功率. 然而,手术前的DU患者可能会在手术后出现更多的空白功能障碍,尽管在统计学上并不显著.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性的盆腔医学
- 泌尿和妇科 泌尿和妇科
背景情况:
- 压力尿失禁 (SUI) 手术可以导致一些妇女的术后排泄功能障碍.
- 通过泌尿动力学研究 (UDS) 确定的脱体低活性 (DU) 是影响SUI后手术结果的潜在因素.
研究的目的:
- 为了研究手术前的排尿器低活性 (DU) 和使用单切口吊带 (SIS) 进行压力尿失禁 (SUI) 手术后排泄功能障碍的发生之间的关系.
主要方法:
- 一项前性诊断研究比较了患有DU的妇女 (病例) 与那些正常的体功能 (对照) 接受SIS的SUI手术的妇女.
- 尿动力学研究 (UDS) 用于在手术前诊断DU.
- 用结构化问卷来评估尿路症状.
主要成果:
- 这项研究包括139名女性;29名女性患有DU,110名女性患有正常的体功能.
- 在SUI手术后,两组的客观和主观成功率相似 (分别为71.4-75.5%和85.4-96.1%).
- 虽然在两组中都增加了手术后的空白症状,但DU组显示出更高比例的持续性或de novo空白症状,尽管在统计学上并不显著.
结论:
- 在使用单切割吊带 (SIS) 时,手术前的排尿器低活性 (DU) 似乎不会影响压力尿失禁 (SUI) 手术的成功率.
- 在手术前患有DU的妇女可能会有更大的倾向于术后排泄功能障碍,这需要进一步调查.
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