在HoLEP中对术后尿失禁发生率和风险因素的元分析
Mei Yang1, Yasheng Huang2, Feng Gao2
1Department of Nursing, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou, Zhejiang, China.
Therapeutic advances in urology
|September 27, 2024
概括
在前列腺的holmium激光核化 (HoLEP) 后的术后尿失禁 (UI) 随着时间的推移而减少. 年龄和前列腺体积是HoLEP后UI的关键风险因素,需要进行手术前评估.
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
- 失禁研究 失禁研究
背景情况:
- 前列腺的霍尔激光核切除 (HoLEP) 是一种常见的治疗良性前列腺增生的程序.
- 手术后尿失禁 (UI) 是 HoLEP 后的潜在并发症,影响患者的生活质量.
- 系统地识别UI发生率和风险因素对于改善外科手术结果至关重要.
研究的目的:
- 系统地识别和量化HoLEP后手术后UI的发生率.
- 确定与HoLEP后UI发展相关的风险因素.
- 为制定有针对性的干预策略提供证据,以减轻UI的风险.
主要方法:
- 在主要数据库 (PubMed,科学网,EMBase等) 进行了全面的文献搜索. 在2024年4月之前.
- 包括的研究经过严格的质量评估和数据提取.
- 使用Stata 15.0进行了元分析,以组合风险因素的发病率和赔率比率.
主要成果:
- 分析了涉及7939名患者的17项研究.
- 在HoLEP手术后,UI的综合发病率为1.12,显示了手术后3,6和12个月的下降趋势.
- 确定的重大风险因素包括年龄较大,BMI较高,前列腺体积较大和PSA水平升高.
结论:
- 经过HoLEP手术后的术后UI显示了时间依赖的下降.
- 年龄和前列腺体积是霍勒普后UI的重要预测因素.
- 针对这些风险因素的术前评估和干预对于减少UI发病率至关重要.
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