在丸激素的不同性别人群中增加了阴道袖口变色
Jennifer W H Wong1, Richie Houhong Xu2, Shayna Vega3
1Division of Urogynecology, Kaiser Permanente Northern California, Oakland, CA; Division of Urogynecology & Reconstructive Pelvic Surgery, University of Hawaii, Honolulu, HI.
American journal of obstetrics and gynecology
|March 29, 2025
概括
在丸激素的性别多元化个体在子宫切除术后的阴道袖口脱光的风险是与 cisgender 女性相比的两倍. 外科医生必须认识到这种增加的风险,并密切监测患者的术后并发症.
科学领域:
- 生殖医学 生殖医学
- 外科手术的结果
- 确认性别的护理
背景情况:
- 许多性别多元的人在性别确认子宫切除术之前使用丸激素.
- 了解丸激素对切除子宫并发症的影响对于手术安全至关重要.
研究的目的:
- 为了比较阴道袖口脱光率在性别多样的人体丸激素与 cisgender 女性.
- 在这些人群中确定与阴道袖口脱光相关的因素.
主要方法:
- 对21,200名经过子宫切除术 (2014-2019) 的成年人进行了回顾性队列研究.
- 测试的性别多样化个体 (手术前使用≥6个月) 与 cisgender 女性进行了比较.
- 分析了国际疾病分类对阴道袖口脱声症的代码,并使用了后勤回归.
主要成果:
- 在丸激素的性别多样化个体中,阴道袖口失色的比例更高 (5.8%与2.4%相比).
- 这个群体的调整后的死亡率是2.18倍,尽管他们年轻,并患有较少的并发病.
- 死亡的独立预测因素包括年轻的年龄,高血压和更长的手术时间.
结论:
- 在丸激素的性别多元化个体面临的阴道袖子脱光的显著增加的风险后宫切除术.
- 外科医生需要提高对这一群体中这种并发症的认识和怀疑.
- 需要进一步的研究来阐明潜在的机制,并优化手术安全.
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