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对老年人进行手术:90岁以上女性的阴道缩手术结果
Stephanie W Zuo, Kristina Warner1, Halina Zyczynski2
1Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
Urogynecology (Philadelphia, Pa.)
|January 14, 2025
概括
90岁及以上妇女的骨盆器官脱落手术是安全的. 这项研究发现,与患有类似健康状况的年轻患者相比,老年患者的术后不良事件 (AE) 风险没有增加.
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.
- 盆地底疾病 盆地底疾病
背景情况:
- 90岁及以上的女性人口正在增长.
- 骨盆器官脱落 (POP) 可以显著影响老年妇女的生活质量.
- 在这个人口群体中,手术修复是烦人的POP的一个选择.
研究的目的:
- 为了比较手术前期的不良事件 (AEs) 在手术后8周内.
- 为了评估90岁及以上的女性和年轻患者的外科治疗结果.
主要方法:
- 双中心回顾性队列研究的二次分析.
- 根据并发症指数和手术类型,匹配24名90岁以上的女性与96名90岁以下的女性.
- 主要结局:复合AE结局 (8周内手术和术后并发症).
主要成果:
- 90岁以上的女性的BMI较低,形阶段较大,全身麻醉较少.
- 在最年长的组中没有手术内并发症.
- 在90岁以上的女性中,重新入院率低 (8.3%) 和熟练护理机构放学率低 (4.2%).
- 年龄≥90岁与复合性副作用无关 (aOR1.60,95% CI [0.39-6.55]).
结论:
- 年龄≥90岁似乎不会增加经过形手术的女性外科手术期间不良事件的风险.
- 类似的并发病概况减轻了与年龄相关的风险差异.
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