评估尿路功能障碍后中泌尿器吊带放置:两个空白试验方法的比较
Angela Leffelman1, Henry H Chill2, Ayesha Kar3
1Female Pelvic Medicine and Reconstructive Surgery (FPMRS), Division of Urogynecology, University of Chicago, Northshore University HealthSystem, Skokie, IL (Drs. Leffelman, Chill, Goldberg, and Rostaminia).
Journal of minimally invasive gynecology
|April 6, 2024
概括
使用主动或被动排泄试验评估中泌尿器吊带手术后的术后尿保留,在成功率上没有显著差异. 然而,同时进行脱落修复会增加保留风险,而更高的BMI会降低其.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 女性盆腔医学和重建性手术
背景情况:
- 暂时的尿是中泌尿器吊带手术 (MUS) 后的常见并发症.
- 有各种方法来评估手术后立即的尿.
研究的目的:
- 为了比较主动与被动排泄试验 (VT) 的成功率,以评估在接受MUS手术的女性中,手术后立即保留尿液的成功率.
主要方法:
- 进行了一项比较的回顾性队列研究.
- 接受MUS手术的患者被分为两组:使用福利导管的活跃逆充膀或被动自发空气.
- 排除标准包括18岁以下的患者,联合手术服务,计划性腹腔切除,先前的尿史和第一天的静脉检查.
主要成果:
- 活体和被动组之间立即术后尿率 (30.8%与29.3%) 或静脉查时间没有统计学上显著的差异.
- 当MUS安置与脱落修复相结合时,尿率显著增加 (10%至29.3%).
- 多变量分析确定了前后结合体 (OR,5.13) 和顶形手术 (OR,2.75) 作为保留的独立预测因子,而增加的BMI (OR,0.89) 降低了保留的可能性.
结论:
- 评估立即手术后尿留的方法 (主动VT与被动VT) 并没有影响VT成功率.
- 同时进行的脱落修复手术,特别是前后结合式缩和顶顶悬浮,与更高的试验失败的可能性有关.
- 增加的体重指数独立地与手术后尿的可能性降低有关.
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