患者年龄对腹腔镜子切除术后决定性悔的影响
Nathan R King1, Alison M Zeccola, Li Wang
1Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois; the Department of Obstetrics, Gynecology & Reproductive Sciences, UPMC Magee-Womens Hospital, and the Clinical and Translational Science Institute, University of Pittsburgh, Pittsburgh, Pennsylvania; and the Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital, Providence, Rhode Island.
Obstetrics and gynecology
|November 27, 2024
概括
较年轻的患者 (30岁或更年轻) 接受了腹腔镜切除子宫的良性疾病报告显著更高的长期遗憾与老年患者 (31-49岁) 相比,关于手术和生育能力的损失. 无论其他因素如何,决定后悔的年龄差异仍然存在.
科学领域:
- 妇科 妇科医生 妇科
- 外科手术的结果
- 患者的决策能力
背景情况:
- 切除子宫是一个常见的手术程序,用于良性妇科疾病.
- 在切除子宫术后后悔的决定可能会影响患者的幸福感和满意度.
- 了解影响遗憾的因素,如患者年龄,对于知情同意和咨询至关重要.
研究的目的:
- 为了比较较年轻 (≤30岁) 和老年 (31-49岁) 患者在腹腔镜切除子宫后对良性疾病的长期决策后悔.
- 确定特定类型的遗憾 (手术决定与生育能力丧失) 和相关因素.
主要方法:
- 一项匹配的回顾性队列研究分析了经过腹腔镜切除子宫切除术 (2009-2016) 的患者.
- 验证的决定遗憾尺度评估了手术和生育能力损失遗憾.
- 患者年龄被二分化 (≤30与31-49岁);统计测试比较了群体.
主要成果:
- 较年轻的患者 (≤30岁) 报告说,与老年患者 (31-49岁) 相比,手术后悔率 (32.5%对9.1%) 和丧失生育后悔率 (39.0%对13.4%) 显着更高.
- 年龄仍然是手术和生育能力丧失后悔的重要预测因素 (aOR分别为2.9和2.8).
- 更高的后悔率与盆腔疼痛,子宫内膜异位症和术后并发症有关.
结论:
- 较年轻的患者 (≤30岁) 在腹腔镜切除子宫后更有可能经历长期决策后悔.
- 这一发现独立于平价,先前绝育或先前的治疗.
- 年龄是一个关键因素,影响患者的hysterectomy后的满意度和遗憾.
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