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与BPH手术相关的尿道狭窄的发生率和管理:来自美国大型数据库的结果
Leslie Claire Licari1,2, Eugenio Bologna1,2, Celeste Manfredi1,3
1Department of Urology, Rush University, Chicago, IL, USA.
Prostate cancer and prostatic diseases
|May 7, 2024
概括
在良性前列腺增生 (BPH) 手术后尿道狭窄 (US) 的发生率很低 (<5%) 并因手术程序而异. 大多数美国病例是通过像尿道扩张 (UD) 这样的最小侵入性治疗来管理的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 医疗信息学 医疗信息学
背景情况:
- 尿道狭窄是良性前列腺增生 (BPH) 手术治疗后已知的并发症.
- 了解美国在各种BPH手术后的当代发病率和风险因素对于患者咨询和管理至关重要.
- 对于BPH来说,越来越多地使用微创治疗方法,因此需要评估它们对美国病例率的影响.
研究的目的:
- 为了确定良性前列腺增生 (BPH) 的不同手术后尿道狭窄 (US) 的当前发病率.
- 识别与手术后美国病的发展相关的风险因素.
- 评估BPH手术后美国使用的管理策略.
主要方法:
- 从2011-2022年使用PearlDiverTM Mariner数据库对非识别患者记录进行了回顾性分析.
- 使用国际疾病分类 (ICD) 和当前程序术语 (CPT) 代码识别接受BPH手术的患者.
- 多变量后勤回归分析,以确定与术后美国相关的因素.
主要成果:
- 在274,808名患者中,12个月内手术后US的总发病率为3.97%.
- 美国的发生率较低,与前列腺尿道切除 (TURP) 相比,前列腺尿道切除 (PUL),Rezum,Aquablation,前列腺动脉栓塞 (PAE) 和前列腺光选择性蒸发 (PVP) 观察到较低.
- 尿道扩张 (UD) 是美国76.7%的病例的主要治疗方法,直接视觉内部尿道切除 (DVIU) 和尿道整形分别用于14.55%和4.50%.
结论:
- 当代BPH手术后尿道狭窄 (US) 的发生率通常很低 (<5%) 并取决于手术.
- 与TURP相比,PUL,Rezum,Aquablation和PAE等最小侵入性手术与美国的风险降低有关.
- 在美国,大多数手术后病例都能通过保守或微创方法得到有效的治疗.
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