欧洲国家对良性前列腺阻塞的内镜手术方法的演变
Benjamin W Turney1, Jean-Nicolas Cornu2, Peter Schatteman3
1Urology Department, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
European urology focus
|April 7, 2025
概括
对良性前列腺阻塞 (BPO) 的欧洲手术治疗正在多样化,转向激光和最少侵入性手术治疗 (MIST),而不是传统的前列腺通过尿道切除 (TURP). 这些较新的BPO程序提供了更短的住院时间和更高的日间病例率,缓解了医疗保健能力.
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
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对良性前列腺阻塞 (BPO) 的内镜外科手术方法在欧洲各国有很大差异.
- 分析了2018年至2023年在比利时,英格兰,法国,德国,西班牙和瑞典的BPO治疗趋势.
研究的目的:
- 调查六个欧洲国家对BPO的内镜外科治疗的演变和变化.
- 为了比较不同BPO手术技术的手术量,停留时间 (LOS) 和日间病例率.
主要方法:
- 分析公开可访问的程序数据,包括程序量和停留时间 (LOS).
- 用一般线性模型和波桑回归来进行跨国比较和统计分析的程序代码的分类.
- 包括2018年至2023年1,100,365例内镜外科BPO手术的数据.
主要成果:
- 在研究的国家中观察到手术体积,治疗选择,LOS和日间病例率的显著差异.
- 通过尿道切除前列腺 (TURP) 的比例从74%下降到64.5%,激光治疗 (8.2%) 和微创手术治疗 (MIST) (1.11%) 的增加.
- 与TURP相比,MIST程序导致显著更短的LOS和更高的日间病例率 (p < 0.001).
结论:
- 欧洲BPO治疗正在向更多多样化的内镜选择发展,包括激光和MIST程序.
- 与TURP相比,激光和MIST手术对医院容量的影响较小.
- 采用MIST和激光治疗可能会缓解医院容量限制,并减少外科等待列表.
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