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关于尿道狭窄手术的实践变化:分析2013-2022年期间法国数据
Nicolas Couteau1, Paul Neuville2, Aurelie Schirmann1
1Urology Department, Foch Hospital, Suresnes, France.
The French journal of urology
|October 11, 2024
概括
尿道整形越来越多地用于尿道狭窄,提供比内镜治疗更好的长期成功. 国家数据显示尿路整形术的增加,特别是自由技术,将其确立为参考治疗.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术实践的演变 手术实践的演变
背景情况:
- 尿道狭窄影响0.9%的人口.
- 内镜治疗的结果很差,尤其是在重复的治疗过程中.
- 尿路整形正在成为首选的治疗方法.
研究的目的:
- 分析2013年至2022年尿道狭窄手术的全国趋势.
- 评估治疗方式的转变.
主要方法:
- 利用了来自Scansanté平台的国家CCAM编码数据.
- 包括来自公共,自由和ESPIC医疗保健结构的数据.
- 分析了与尿道狭窄手术相关的程序.
主要成果:
- 整体尿道外科手术量在十年内增加.
- 内镜手术仍然稳定,但占主导地位 (2022年为23,982例).
- 尿路整形自2019年以来显著增加 (2022年为1600例),增强和自由技术显示出显著的增长.
结论:
- 内镜治疗仍然很常见,但长期成功率较低.
- 尿道整形,成功率为80%左右,正在成为尿道狭窄的参考治疗方法.
- 尿路整形应该被视为首要选择,而不是最后的手段.
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