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年龄对消灭性阴道外科手术后的外科并发症的影响
Erin E Mowers, Laura G Vargas1, Jonathan P Shepherd2
1University of Pittsburgh School of Medicine, Pittsburgh, PA.
Urogynecology (Philadelphia, Pa.)
|September 27, 2024
概括
年龄是经历消灭性阴道手术的女性中术后并发症的重要预测因素. 年龄较大增加了风险,预测并发症的临界值为70.5岁.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 老年人手术是一门老年手术.
- 手术结果研究研究.
背景情况:
- 消灭性阴道外科手术,如阴道,通常在老年妇女中进行,以治疗骨盆器官缩.
- 在这个特定的手术队列中,晚年对术后并发症率的独立影响仍然不完全理解.
研究的目的:
- 调查患者年龄与接受消灭性阴道手术的女性中术后并发症的发生之间的关联.
主要方法:
- 追溯性队列研究,对371名接受囊化治疗的患者进行了追溯性队列研究 (2010-2013).
- 对人口和临床变量的分析,包括手术后12周内出现的并发症.
- 统计分析包括千平方,费舍尔精确,学生t,曼-惠特尼U测试和后勤回归模型.
主要成果:
- 患者的平均年龄为75.4岁.
- 近30% (29.7%) 的患者至少出现了一种并发症,最常见的是尿路感染 (12.7%).
- 在多变量模型中,高级年龄 (几率比率为每年1.05) 是术前并发症的唯一显著的独立预测因子,值≥70.5年优化预测.
结论:
- 年龄是消灭性阴道手术后术前并发症的重要预测因素.
- 每增加一年的年龄都会使并发症的可能性增加5%;一个85岁的老人比65岁的老人有2.65倍的风险.
- 虽然年龄是一个预测因素,但严重的并发症仍然很少见.
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