在接受子宫切除术的妇女中,同时修复的结果和并发症
Stephanie L Lim1, Hope Knochenhauer, Tracy Truong
1Department of Obstetrics and Gynecology, and the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Duke University Medical Center, the Duke University School of Medicine, the Department of Biostatistics and Bioinformatics, Duke University School of Medicine, the Duke Clinical Research Institute, and the Duke Cancer Institute, Durham, North Carolina.
Obstetrics and gynecology
|September 28, 2023
概括
在子宫切除术期间同时进行修复会增加手术时间,停留时间和并发症风险. 然而,某些患者群体,如患有恶性瘤的患者,可能不会出现明显的并发症增加.
科学领域:
- 妇科外科手术 妇科外科
- 手术瘤学手术瘤学
- 腹部外科手术 腹部外科手术
背景情况:
- 切除子宫是一个常见的妇科手术.
- 同时修复有时在子宫切除术期间进行.
- 综合手术对患者结果的影响需要评估.
研究的目的:
- 为了确定与子宫切除术同时进行修复是否会增加并发症率.
- 为了比较仅进行子宫切除术的患者与同时进行修复的子宫切除术之间的结果.
主要方法:
- 使用美国外科医生学院国家外科质量改进计划数据库 (2005-2019) 进行回顾性队列研究.
- 倾向性得分匹配 (1:1) 用于控制手术前和手术变量.
- 评估的结果包括手术时间,停留时间和重大/轻微并发症.
主要成果:
- 同时修复与46分钟更长的操作时间和0.71天更长的停留时间有关.
- 随着同时进行修复,主要并发症风险增加了21.9%,小并发症风险增加了34.5%.
- 亚组分析显示,BMI<40的患者,特定年龄组或患有恶性瘤的患者的风险没有显著增加.
结论:
- 在子宫切除术期间同时修复与更长的手术时间,更长的住院时间和更高的并发症风险有关.
- 在特定人群中,例如患有恶性瘤或较低BMI的患者,与并发修复相关的风险可能与单独切除子宫的风险相当.
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