通过累积总和测试分析vnotes sacrocolpopexy的学习曲线:一个队列研究
Wenyu Liu1, Nannan Sun1, Yuejiao Zhang2
1Department of Obstetrics and Gynecology; Department of Gynecology; Guangdong Provincial Key Laboratory of Major Obstetric Diseases; Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology; Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine; The Third Affiliated Hospital, Guangzhou Medical University, Guangzhou, China.
经阴道自然孔透光内镜性神经缩术 (vNOTES-SC) 显示,对于骨盆器官脱落 (POP) 治疗来说,学习曲线很短. 这种最少的侵入性方法提供了持久的结果和一个安全的手术选择,并迅速恢复.
科学领域:
- 最少侵入性的妇科手术.
- 骨盆重建性手术是什么?
- 外科教育和培训外科教育和培训.
背景情况:
- 在治疗骨盆器官脱落 (POP) 时,经阴道自然孔透光内镜性神经缩术 (vNOTES-SC) 的学习曲线至关重要,但研究不足.
- 了解这种学习曲线对于广泛采用和患者安全至关重要.
研究的目的:
- 用累积总和 (CUSUM) 分析描述vNOTES-SC的学习曲线.
- 评估手术时间,手术并发症和vNOTES-SC.的长期结果.
- 在学习过程中识别影响操作时间的因素.
主要方法:
- 在2017年6月至2024年5月接受vNOTES-SC治疗的患者的医院队列研究.
- 所有手术都是由一位经验丰富的外科医生进行的.
- 运用CUSUM分析对手术时间来定义学习曲线阶段;系统地收集了术后和长期结果.
主要成果:
- 在第11个案例中,CUSUM分析发现了学习曲线的曲折,平均手术时间从241.6分钟减少到184.3分钟.
- 学习后曲线,转化率和住院时间显著下降.
- 随访73个月的中位数显示了91%的解剖治愈率,3.8%的网状暴露率;POP-Q,PFIQ-7和PFDI-20分数显著改善.
结论:
- vNOTES-SC是一种可行的和持久的手术选择,用于POP,学习曲线很短.
- 该程序显示了迅速的术后恢复和有利的长期结果.
- 即使在最初的学习阶段,vNOTES-SC也是安全和可行的外科选择.
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