深层子宫内膜异位症手术后膀功能障碍的间歇性自导管:可能影响恢复过程的持续时间和因素
Sari Boulus1, Benjamin Merlot2, Isabella Chanavaz-Lacheray1
1Franco-European Multidisciplinary Endometriosis Institute, Clinique Tivoli-Ducos (Drs. Boulus, Merlot, Chanavaz-Lacheray, Dennis, and Roman), Bordeaux, France.
Journal of minimally invasive gynecology
|February 7, 2024
概括
大多数需要间歇性自导管的患者在深层子宫内膜异位症手术后恢复了膀功能. 手术前的膀问题预示着更长的恢复时间,因此患者应该被告知潜在的风险.
科学领域:
- 妇科 妇科医生 妇科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- 深度子宫内膜异位症手术可能导致暂时的膀功能障碍.
- 间歇性自导管有时需要手术后进行,以管理膀空气问题.
研究的目的:
- 在深度子宫内膜异位症切除后需要间歇性自导管治疗的患者中,确定恢复正常膀空腔功能的时间.
- 为了确定与长期膀功能障碍相关的风险因素.
主要方法:
- 来自一个专门的子宫内膜异位症转诊中心的潜在数据库的回顾性分析.
- 包括61名接受深度子宫内膜异位切除并需要间歇性自导管治疗的患者.
- 收集后续数据以评估膀功能恢复和自导管停止的时间.
主要成果:
- 70.5%的患者在随访期间成功停止了自导管.
- 在手术后78周,膀空功能恢复的概率达到77%.
- 手术前膀功能障碍是延迟恢复的唯一重要独立预测因素 (HR,0.36;95% CI,0.15-0.83).
结论:
- 在深层子宫内膜异位症手术后需要间歇性自导管的绝大多数患者可以预期自发恢复正常的膀功能.
- 在患者咨询和手术规划中,对膀空气症状的术前评估至关重要.
- 应向患者提供关于深度子宫内膜异位切除后可能出现长期膀功能障碍的建议.
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