泌尿科医生的认知和实践模式与尿道镜检查期间的内压力有关:全球横截面分析的发现
Stefanie M Croghan1,2, Bhaskar K Somani3,4, Shane W Considine5
1Strategic Academic Recruitment (StAR) Programme, Royal College of Surgeons Ireland, Dublin, Ireland.
Journal of endourology
|September 19, 2023
概括
世界各地的泌尿科医生对尿道镜检查 (URS) 期间的内压力 (IRP) 显著关注,并承认其与不良结果的联系. 然而,对于最佳的IRP限制和管理策略缺乏共识.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 外科手术的结果
背景情况:
- 在尿路透镜检查 (URS) 期间,内压力 (IRP) 是影响患者结果的关键因素.
- 了解泌尿科医生对IRP的看法和做法对于提高手术安全性和疗效至关重要.
- 关于全球泌尿科医生在URS期间有关IRP管理的观点,数据有限.
研究的目的:
- 调查全球泌尿科医生在尿路镜检查 (URS) 期间关于内压力 (IRP) 的看法和实践模式.
- 确定泌尿科医生对在URS期间与高IRP相关的潜在不良结果的担忧.
- 探索目前的策略和被认为的门,以管理IRP在URS程序.
主要方法:
- 通过系统的文献审查和专家分析,开发了一个定制的19项问卷.
- 该问卷通过专业协会和社交媒体在国际范围内向泌尿科医生传播.
- 分析了522名泌尿科医生的答案,使用描述性统计和千-平方测试,并根据手术体积分别对子组进行分析.
主要成果:
- 绝大多数泌尿科医生 (85.4%) 认为URS期间的IRP具有临床意义 (≥7/10).
- 常见的不良结局包括尿路塞普斯 (96.2%),收集系统破裂 (80.8%) 和术后疼痛 (67%).
- 大多数参与者 (96.2%) 采取措施降低IRP,其中30 mm Hg最常被认为是最高可接受的门.
结论:
- 这项研究揭示了泌尿科医生在全球范围内广泛关注URS期间的IRP及其与不良事件的关联.
- 在IRP的临床意义上达成共识,但在最佳的手术内IRP限值方面仍然存在平衡.
- 需要进一步的研究,以建立标准化的技术策略,以便在尿路透镜检查期间有效地管理IRP.
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