身体质量指数是性别调整手术后的潜在风险因素:系统性审查和元分析
Nikolaos Taprantzis1, Dimosthenis Chrysikos2, Theodore Troupis2
1Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Mikras Asias 75, 11527, Athens, Greece. nichostap@gmail.com.
Aesthetic plastic surgery
|May 12, 2025
概括
肥胖与性别确认手术中更高的并发症率有关. 医疗专业人员应将体重指数 (BMI) 作为这些患者的手术风险因素.
科学领域:
- 医学科学 医学科学 医学科学
- 外科手术的结果
- 肥胖问题研究研究
背景情况:
- 肥胖是一个日益严重的全球健康问题.
- 性别确认手术越来越常见.
- 肥胖和手术并发症之间的关系需要进一步调查.
研究的目的:
- 检查接受性别确认手术的患者中肥胖和并发症率之间的关联.
- 为了确定高体重指数 (BMI) 是否会影响术后结果.
主要方法:
- 在PubMed,Embase和Google Scholar的系统文献搜索.
- 对术后结果和并发症率的分析.
- 进行了两项元分析:一项是根据BMI范围比较并发症率,另一项是评估与并发症相关的平均BMI.
主要成果:
- 分析1: 肥胖 (BMI ≥30 kg/m2) 与术后并发症的增加有显著关联 (风险比率=0.46,95% CI:0.230.70).
- 分析2:在患有并发症和没有并发症的患者之间没有发现平均BMI的显著差异 (平均差异=0.18,95%CI: -0.100.47).
结论:
- 肥胖是一个相关的手术风险因素,需要在接受性别确认手术的患者中仔细考虑.
- 虽然BMI的确切影响仍在确定,但它可能会导致术后并发症.
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