在 inguinal 的因素中基于性别的差异
Sarah Pivo1, Desmond Huynh1, Cherin Oh2
1Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Surgical endoscopy
|August 25, 2023
概括
成年女性比男性有更多的 inguinal hernias 风险因素,但双边性和遗传倾向是相似的. 这项研究突出了成年 inguinal hernia 因素的基于性别的差异.
科学领域:
- 一般外科 整体外科
- 椎间板手术 手术 椎间板手术
- 外科手术的结果
背景情况:
- 阴茎的知识是男性主导的,但女性经历的结果更糟糕.
- 儿科研究表明,女性的双边,监禁的发病率更高,具有遗传联系.
- 有限的数据存在于成人的 inguinal 的基于性别的差异.
研究的目的:
- 为了调查成年椎间的性别差异因素.
- 确定成年女性与男性的手术前风险因素和手术特征.
- 为了补充关于成人 inguinal 的文献,特别是关于女性患者.
主要方法:
- 对于一次性 inguinal hernia 修复的机构数据库的回顾性查询.
- 分析的重点是手术前的风险因素和手术特征.
- 多变量分析以确定与手术内缺陷数量相关的变量.
主要成果:
- 女性 (40.9%) 有更多的风险因素 (1.53对1.2),便秘,GERD和喘,BMI较低.
- 女性有较少的直接 (12.9%与32.9%) 和更多的股骨 (38.5%与12.2%).
- 双边性和的家族史在两性之间是相似的;年龄,性别,BMI和分娩与缺陷数量没有相关性.
结论:
- 经过 inguinal hernia 修复的成年女性比男性具有更多的手术前风险因素.
- 与儿科发现相反,这项研究没有发现成年女性双边性或遗传倾向的增加.
- 这些发现强调了需要意识到成年人椎间的性别差异及其促成因素.
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