2010年至2020年日本异胎妊娠治疗的国家趋势:2010年至2020年日本异胎妊娠治疗的国家趋势:一项追溯观察性研究
Risa Ishida1, Hiroyuki Ohbe2, Gentaro Izumi1
1Department of Obstetrics and Gynecology, The University of Tokyo, Tokyo, Japan.
概括
在日本,外宫妊娠 (EP) 治疗中越来越多地使用手术,而甲状腺素的使用正在下降. 该研究发现,甲状腺仍然对EP有效,与国际标准相美.
科学领域:
- 生殖医学 生殖医学
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 宫外妊娠 (EP) 管理包括手术和非手术选择.
- 在许多国家,甲托雷克萨特是EP的常见一线医疗治疗.
- 针对EP的手术和医疗疗法在精选患者中表现出相似的疗效.
研究的目的:
- 在日本调查异胎妊娠治疗的全国趋势.
- 分析EP手术与医疗管理的不断变化的利用情况.
- 评估十多年来对EP的甲状腺 administration的趋势.
主要方法:
- 一个全国性住院病人的索赔数据库 (2010-2020年) 的回顾性分析.
- 包括被诊断患有EP的15-49岁女性患者.
- 治疗趋势的比较,甲状腺素使用和成功率,包括基于后续手术干预的子组分析.
主要成果:
- 总共有53,653个EP病例被确定.
- 手术治疗比例从79% (2010) 增加到83% (2020).
- 甲索治疗比例从8.1% (2010) 降至5.1% (2020),输卵管怀孕的显著下降.
结论:
- 针对EP的手术干预在日本有上升趋势.
- 治疗EP的甲托雷克萨特治疗趋势下降,但保持了与国际基准相比的疗效.
- 这项研究强调了日本异胎妊娠的治疗模式的发展.
相关概念视频
Regression Toward the Mean
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...
Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Nondisjunction
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold sister...
Infertility in Males
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
Infertility in Females
Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of endometrial...
Endometriosis, a condition characterized by abnormal growth of endometrial...
Intrauterine Drug Delivery Systems
Controlled-release systems for intravaginal and intrauterine drug delivery have been developed primarily for the administration of contraceptive steroid hormones. These delivery routes circumvent first-pass hepatic metabolism, thereby enhancing bioavailability and allowing for reduced systemic dosages compared to oral administration. Such approaches contribute to improved therapeutic efficacy and patient compliance, particularly in long-term contraceptive regimens.Intravaginal Drug Delivery...


