laparoscopic adrenalectomy后术后发烧的危险因素,重点关注产生的荷尔蒙:一个病例对照研究
Mizuki Izawa1, Toshikazu Takeda2, Tadatsugu Anno1
1Department of Urology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-Ku, Tokyo, 160-8582, Japan.
BMC urology
|April 18, 2024
概括
腹腔镜上腺切除术后的术后发烧在患有染细胞瘤的患者中明显更常见,而在患有库辛综合征的患者中较少. 仔细管理至关重要,考虑到特定的荷尔蒙产生瘤.
科学领域:
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- laparoscopic adrenalectomy 是一种常见的手术,用于产生激素的瘤.
- 手术后的管理因上腺瘤产生的荷尔蒙而有所不同.
- 识别发烧等并发症的危险因素对于患者护理至关重要.
研究的目的:
- 为了追溯分析腹腔镜上腺切除术后术后并发症的风险因素.
- 具体来说,是为了澄清术后发烧的预测因素.
主要方法:
- 分析了在2003年至2019年期间接受了腹腔镜上腺切除术的406名患者.
- 术后发烧的定义是手术后72小时内38°C或更高.
- 多变量后勤回归用于识别发烧的独立预测因子.
主要成果:
- 术后发烧发生在所有患者中的31%.
- 发红细胞瘤病例的发烧率 (53%) 与非发红细胞瘤病例 (25%) 相比显著更高.
- 与非库希综合征病例 (35.6%) 相比,库希综合征病例的发烧率显著降低 (8%).
结论:
- 在腹腔镜上腺切除术后的术后发烧受到瘤类型的显著影响,特别是色细胞瘤和库辛综合征.
- 这些发现凸显了考虑瘤特异性荷尔蒙影响在治疗上腺切除术后患者的重要性.
- 需要量身定制的治疗策略,以减轻这些患者的发烧风险.
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