尿道上部泌尿道癌的尿道透视的累积发病率
G Basile1, A Gallioli2, A Territo2
1Servicio de Urología, Fundació Puigvert, Universidad Autónoma de Barcelona, Barcelona, Spain; Servicio de Urología, IRCCS Hospital San Raffaele, Milán, Italy.
Actas urologicas espanolas
|May 12, 2024
概括
尿道上部泌尿道癌 (UTUC) 的尿道透视术并发症并不常见. 术内问题增加了术后并发症的风险,综合并发症指数 (CCI) 更好地反映了整体发病率,而不是克拉维恩-丁多分类 (CDC).
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 手术并发症 手术并发症
背景情况:
- 尿路透镜 (URS) 用于诊断和管理上道泌尿道癌 (UTUC).
- 评估术后并发症和累积发病率对于患者的安全性和治疗评估至关重要.
研究的目的:
- 评估UTUC的URS后并发症的发生率和类型.
- 使用综合并发症指数 (CCI) 量化累积的术后病情负担.
- 确定UTUC的URS后与术后并发症相关的因素.
主要方法:
- 在360名怀疑患有UTUC的患者中,对575例URS手术进行了回顾性分析.
- 根据EAU指南记录并发症,并使用Clavien-Dindo分类 (CDC) 进行分级.
- 使用CCI来评估累积发病率;多变量逻辑回归确定了风险因素.
主要成果:
- 15%的手术至少有一种并发症,4.3%有多种并发症,其中14%是严重的 (CDC ≥ IIIa).
- 常见的并发症包括尿道问题 (34%),出血 (30%) 和感染 (30%).
- 术后并发症与任何级别和重大术后并发症的风险更高有关.
结论:
- 对于UTUC的URS后的并发症并不常见.
- 与CDC相比,CCI提供了一个更全面的累积术后发病率指标.
- 经历手术后并发症的患者需要对术后不良事件进行更密切的监测.
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