评价的结果之间的自上而下的与自下而上的方法对回流体中泌尿器吊带的回流体中泌尿器吊带
Vidushri Mehrotra1, John Pearl1, David Sheyn2
1Case Western Reserve University School of Medicine, Cleveland, OH, USA.
International urogynecology journal
|February 20, 2024
概括
以自上而下的方法将回流体中泌尿器吊带 (MUS) 放置,与自下而上方法相比,这种方法显示了较低的网状侵蚀率. 这两种技术在压力性尿失禁治疗中提供了类似的整体并发症风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 外科手术的结果
背景情况:
- 形中尿道吊带 (MUS) 放置是应激性尿失禁 (SUI) 的标准治疗方法.
- 手术方法包括自上而下的和自下而上的技术,当代的比较结果数据有限.
- 了解这些方法的比较安全性和有效性对于临床决策至关重要.
研究的目的:
- 为了比较自上而下的临床结果与自下而上的逆流体MUS安置.
- 评估与每种手术方法相关的术后并发症.
- 提供有关不同回流体MUS技术的有效性和安全性的最新数据.
主要方法:
- 在2010年至2020年期间,对309名女性进行了回性MUS的回顾性队列研究.
- 从电子医疗记录中提取的数据,包括人口统计信息和操作方法.
- 主要结局是任何外科手术后并发症的综合发病率.
主要成果:
- 分析了140 (45.3%) 的自上而下的方法和169 (54.7%) 的自下而上的方法.
- 从上到下的方法与显著较低的吊带暴露率相关 (p=0.02).
- 观察到的人口差异:年龄较大,糖尿病率较高,子宫切除术在上下群中较早发生.
结论:
- 对回流体MUS放置的自上而下的方法与减少网格侵蚀有关.
- 两种手术方法都没有显示出整体并发症风险增加或新的过度活性膀症状.
- 这些发现支持患者和外科医生对MUS手术技术做出明智的选择.
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