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使用修改后手术发病率调查来评估腹腔镜或机器人辅助激进前列腺切除术后的发病率:一项回顾性观察性研究
Wenping Peng1, Xiaolu Sun2, Shuang Zhao3
1Department of Anesthesiology, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medical Sciences, Beijing, P.R. China. pengwenping3850@bjhmoh.cn.
BMC anesthesiology
|October 29, 2024
概括
通过修改后术发病率调查 (m-POMS) 确定的机器人辅助激进前列腺切除术后的早期发病率发生在约20%的患者中. 这种发病率,特别是传染病和肺部问题,显著延长了住院时间.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 最少侵入性的手术
背景情况:
- 机器人辅助激进前列腺切除术 (RP) 与公开手术相比具有优势,但仍可能导致长时间住院.
- 术后发病率调查 (POMS) 是一种工具,用于识别影响住院时间 (LOS) 的并发症.
- 早期发现发病率对于管理RP患者的术后康复至关重要.
研究的目的:
- 用修改的POMS (m-POMS) 来确定腹腔镜或机器人辅助RP后早期发病率和类型.
- 评估m-POMS得分与术后住院时间 (LOS) 之间的关联.
主要方法:
- 对121名接受腹腔镜或机器人辅助RP的患者电子健康记录的回顾性分析.
- 在术后1,3,5和8天使用m-POMS进行发病率评估.
- 普森回归模型将m-POMS发现与手术后的LOS相关联.
主要成果:
- 通过m-POMS检测到的发病率发生在19-35%的患者在术后1-8天.
- 感染和肺部并发症是最常见的问题.
- 发病率与手术后的LOS增加在第1,3和第5天显著相关.
结论:
- 通过m-POMS评估的激进前列腺切除术后早期发病率约为20%.
- 传染病和肺部并发症是最常见的致病原因.
- 通过m-POMS识别的短期发病率是长时间住院的重要预测因素.
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