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为良性/前恶性疾病进行腹腔镜切除子宫术后的当日出院:多中心随机对照试验

Suzanne J Dedden^1,2,3, Jacques W M Maas^2,4, Nicol A C Smeets⁵

¹Department of Obstetrics and Gynaecology, Máxima Medical Center, Veldhoven, The Netherlands.

BJOG : an international journal of obstetrics and gynaecology

|July 17, 2024

概括

腹腔镜切除子宫术后的当天出院对于患者的康复和第二天出院一样有效. 这项研究发现身体功能或生活质量没有显著差异,支持早期出院协议.

科学领域:

妇科外科手术妇科外科
患者的治疗结果.
术后恢复术后恢复

背景情况:

全腹腔镜子宫切除术是一种常见的手术.
手术后出院的时间可能会影响患者的康复和医疗保健资源的利用.
优化出院协议对于改善患者体验和效率至关重要.

研究的目的:

为了确定全腹腔镜切除术后的当日排泄 (SDD) 是否与第二天排泄 (NDD) 在身体功能和生活质量方面不逊色.
评估SDD在手术后的不同时间点对患者报告的结果的影响.

主要方法:

进行了一项多中心,非劣势的随机对照试验.
经过腹腔镜切除子宫的205名患者被随机分配到SDD或NDD.
使用PROMIS物理功能简单表格10A评估身体功能,使用EQ-5D-5L问卷评估生活质量.

主要成果:

证实了SDD的非劣势性,手术后7天身体功能没有显著差异 (平均差异0.32;95% CI [0.07-0.57]).
在SDD和NDD组之间,在1,3天和6周后,在身体功能或生活质量方面没有观察到统计学上显著的差异.
该研究包括SDD组的105名患者和NDD组的100名患者.

结论:

腹腔镜切除子宫术后的当天排泄是第二天排泄的安全有效替代方案.
在短期或中期内,早出院不会对身体功能或生活质量产生负面影响.
这些发现支持对接受腹腔镜切除子宫切除术的选定患者实施当天出院协议.

关键词:

laparoscopic 腹腔镜切除子宫的方法同一天的免责令.

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