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布里克尔与华莱士尿道状缩:一个多机构的倾向性得分匹配分析

Mulham Al-Nader¹, Ulrich Krafft¹, Jochen Hess¹

¹Department of Urology, University Hospital Essen, Essen, Germany.

International journal of urology : official journal of the Japanese Urological Association

|April 22, 2024

概括

布里克和华莱士技术用于尿道形解剖,具有相似的狭窄率. 然而,华莱士技术与更多的双边上路干涉有关,增加了单元损害的风险.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术技巧手术技巧
在瘤学瘤学.

背景情况:

尿路转移 (UD) 是激进囊切除术后的一个关键程序.
泌尿管内瘤是UD的一个关键步骤,通常采用布里克和华莱士技术.
结形成仍然是影响长期结果的重大并发症.

研究的目的:

为了比较布里克和华莱士技术之间的狭窄率,用于尿道形解剖.
为了确定与尿路肠道狭窄 (UES) 形成相关的风险因素.

主要方法:

在两个大学医院接受UD的740名患者的回顾性分析.
布里克和华莱士组的倾向匹配分析 (1:1比),考虑各种临床和病理因素.
多变量考克斯回归分析以确定UES的预测因素.

主要成果:

布里克 (12%) 和华莱士 (14.4%) 组之间的整体UES率没有显著差异 (p=0.56).
华莱士组 (10.7%) 与布里克组 (6.2%) 相比,双边上道感染的发生率显著更高 (p=0.00).
之前的放射治疗,T4盆腔恶性瘤和结节阳性疾病是UES的独立预测因素.

结论:

选择尿道形解剖技术 (布里克与华莱士) 不会独立地影响整体收缩率.
在解过程中将两个单元转换为一个单元,与双边上道感染的风险增加有关.
识别和减轻风险因素,如先前的放射治疗,对于预防UES至关重要.

关键词:

一个匠,一个匠.华莱士华莱士华莱士华莱士进行激进囊切除术.尿道肠道狭窄症是什么意思尿路的转移是尿路的转移.

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