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肥胖患者尿路整形术后的早期术后事件:多机构回顾系列
J Patrick Mershon1, Janine Bennett1, Matthew Murtha1
1Department of Urology, The Ohio State University Wexner Medical Center, Columbus, OH.
Urology
|May 16, 2024
概括
肥胖不会对尿道狭窄疾病的尿路整形结果产生负面影响. 这项研究发现,虽然肥胖患者经历了更多的血液损失和更长的住院时间,但并发症率和复发率与非肥胖患者相似.
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
- 肥胖医学 肥胖医学
背景情况:
- 尿道狭窄疾病影响了大量的患者群体.
- 肥胖的患病率不断上升,在手术管理方面带来了挑战.
- 不同程度的肥胖对尿路整形术结果的影响仍然不完全理解.
研究的目的:
- 为了比较非肥胖,肥胖和致病肥胖患者之间的早期尿路整形结果.
- 调查肥胖对并发症率,复发率和尿路整形术后二次干预的需求的影响.
- 在肥胖率上升的背景下,评估尿路整形的安全性和有效性.
主要方法:
- 一项比较研究涉及201名从2016年1月到2020年12月期间在五个机构接受尿路整形手术的患者.
- 患者被分为正常体重 (BMI <25),超重 (BMI 25-29.9),肥胖 (BMI 30-39.9) 和患病性肥胖 (BMI >40) 的组.
- 收集的数据包括人口统计,并发症,收缩特征,并发症,复发和二次干预等结果,使用单变量和多变量方法进行分析.
主要成果:
- 肥胖患者比较年轻,并且出现更多的前部,阳性和LS相关的狭窄.
- 整体60天并发症率为26.3%,体重组之间没有显著差异.
- 肥胖患者的估计血液损失更大,住院时间更长,但肥胖与对比度泄漏,复发或需要额外干预并不相关.
结论:
- 尿道整形是肥胖患者的安全和有效的手术,患有尿道狭窄疾病.
- 虽然肥胖患者可能有特定的狭窄类型和增加的手术内流血/停留时间,但他们的整体外科结果是可比的.
- 这些发现支持在治疗尿道狭窄时继续使用尿路造形术,无论患者的体重类别如何.
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