在接受部分腎切除手術的男性中,陰性腺缺陷,軟弱和手術後的結果
Alon Lazarovich1, Daniel R Greenberg2, Stephen P Rhodes3
1Department of Surgery, Section of Urology, University of Chicago Pritzker School of Medicine, Chicago, Illinois, USA.
The Canadian journal of urology
|December 15, 2024
概括
阴性腺缺陷症常见于接受部分切除术的男性,并与脆弱性有关. 替代疗法可能会降低虚弱的手术后风险,低腺男性,表明查是有益的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 老年病的医生 老年病的医生
背景情况:
- 双胞胎缺血症影响8.9%的男性进行了部分切除术 (PN).
- 相比于eugonadal男性,阴阴腺男性的脆弱性得分明显高.
- 虚弱,而不是阴性双胞胎缺陷本身,与不良的术后结果相关.
研究的目的:
- 为了评估在接受PN的男性中阴性腺体的患病率.
- 为了研究阴性双胞胎缺陷,虚弱和术后结果之间的关联.
- 为了评估替代疗法 (TRT) 对阴道下男性结局的影响.
主要方法:
- 使用Merative Marketscan.使用PN (2012-2021) 接受9105名男性的回顾性分析.
- 根据PN前5年内诊断的下性症;通过医院脆弱性风险评分 (HFRS) 评估的脆弱性.
- 结果包括停留时间,并发症,急诊室访问和再接收;对TRT效应的子组分析.
主要成果:
- 低腺和高腺男性在停留时间或90天并发症方面没有显著差异.
- 中等和高风险的脆弱性与90天的急诊室访问和再入院的增加有关.
- 在高风险的男性中,TRT与90天的急诊室访问减少相关 (p=0.04).
结论:
- 虚弱是PN后术后结果的关键预测因素.
- 双胞胎缺血症与这一群体的脆弱性增加有关.
- TRT可能会减轻虚弱的手术后风险,低腺男性,支持虚弱评估和丸激素查.
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