在中泌尿器吊链放置期间使用刚性导管导管是否会影响囊切除率? 一个回顾性队列研究
Alessandra M Jannette1, Audrey Lunde1, Tamara Siblini1
1Ascension St. John Hospital.
概括
严格的导管导管没有降低在中泌尿器吊带手术期间的囊切率. 在这些手术中,较高的BMI与膀损伤风险降低有关.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 外科手术的安全性
- 女性的盆腔医学
背景情况:
- 体中尿道吊带的放置是应激性尿失禁的常见程序.
- 膀损伤 (囊切术) 是这次手术的潜在并发症.
- 建议使用刚性导管导管,以减少潜在的手术并发症.
研究的目的:
- 为了评估硬式导管导管是否会影响 retropubic 中尿道吊带放置期间囊切除的发生率.
- 为了比较膀损伤率与没有使用刚性导管导管的指南.
主要方法:
- 对687名接受中尿道吊带安置的患者进行了回顾性队列研究 (2016年1月 - 2022年12月).
- 用刚性导管导管进行手术的患者 (n=472) 与没有 (n=215) 之间的囊切除率的比较.
- 主要结局:通过囊尿透镜检查后检查发现的囊瘤切除的发生率.
主要成果:
- 囊管切除的发生率为12.9%的刚性导管导管和10.2%没有.
- 细胞切除率的这种差异在统计学上并不显著 (P = .316).
- 后勤回归显示,身体质量指数 (BMI) 和囊切除术 (P = .041) 之间存在显著的反向关系;BMI增加1点与膀损伤风险降低4.2%相关.
结论:
- 在放入逆流管中尿道吊带时使用刚性导管导管不会显著改变囊切割率.
- 在这种手术过程中,增加的BMI似乎是预防膀损伤的保护因素.
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