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良性前列腺增生手术在门诊外科手术场所的趋势

Jenny N Guo¹, Neil A Mistry¹, Matthew S Lee²

¹Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

Journal of endourology

|July 28, 2023

概括

对于良性前列腺增生症 (BPH),前列腺的霍尔激光取核 (HoLEP) 越来越多地被采用在门诊环境中. 尽管BPH手术的整体下降,但HoLEP的使用几乎翻了一番,成为第二常见的手术.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术创新在外科创新.
医疗保健服务研究医疗服务研究

背景情况:

前列腺的霍尔激光核化 (HoLEP) 为良性前列腺增生症 (BPH) 治疗提供了基于证据的优势.
在某些人群中,HoLEP的采用一直是有限的,尽管有进展,可以在同一天释放.
鉴于其不断变化的作用,评估外科医院HoLEP的国家趋势至关重要.

研究的目的:

评估在门诊外科手术环境中进行前列腺的霍尔激光取核 (HoLEP) 的国家趋势.
分析2016年至2019年的HoLEP利用变化.
为了比较HoLEP的采用与其他BPH手术干预相比.

主要方法:

对于2016年和2019年的全国门诊外科样本 (NASS) 数据库的回顾性分析.
按年龄,地区和支付方计算和分层划分BPH手术率.
统计比较使用基平方和两样样 t 试验.

主要成果:

从2016年到2019年,总的门诊BPH手术减少了20%.
在门诊BPH手术中,HoLEP的份额从2016年的4.7%增加到2019年的8.3%,成为第二常见的手术.
在全国范围内,HoLEP的使用量几乎翻了一番,超过了绿色照明前列腺的光选择性蒸发 (PVP).

结论:

前列腺的霍尔激光取核 (HoLEP) 吸收在门诊环境中显著增加.
霍勒普已经成为BPH的第二个最常见的手术干预,取代了PVP.
门诊HoLEP的增加表明,它越来越受欢迎,并且可以在同一天出院.

关键词:

良性前列腺增生症良性前列腺增生症经过成本分析,分析成本.荷激光切除前列腺细胞核.趋势趋势趋势

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