在骨盆器官脱落手术中进行外科手术期间的干预
Usama Shahid1, Nir Haya2, Kaven Baessler3
1Royal Brisbane and Women's Hospital, James Cook University, Brisbane, Australia.
The Cochrane database of systematic reviews
|July 22, 2025
概括
这次审查发现,在骨盆器官脱落 (POP) 手术中,术后干预的证据有限. 长时间使用导管可能会增加尿路感染的风险,但大多数其他干预措施没有显著的益处.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 手术创新 在外科创新.
背景情况:
- 骨盆器官脱落 (POP) 是常见的,通常需要手术.
- 在POP手术中进行术后干预的证据有限.
- 干预措施旨在减少不良事件并改善外科手术结果.
研究的目的:
- 为了比较POP手术中术后干预的安全性和有效性.
- 将干预措施与对照组或其他干预措施进行评估.
主要方法:
- 49个随机对照试验 (RCT) 的系统审查.
- 包括5657名接受POP手术的女性.
- 使用GRADE.评估的结果,如脱落意识,重复手术,不良事件和患者报告的结果.
主要成果:
- 盆地肌肉训练在倒复发或患者报告的结果上没有显著差异.
- 早期 (<24小时) 和延迟 (24小时) 的内置导管切除没有显著影响尿路感染 (UTI) 或停留时间.
- 长时间使用导管 (>24小时) 与尿路感染和更长时间住院的风险明显增加有关.
结论:
- 对于POP手术中的大多数外科手术期间的干预措施,证据有限.
- 长时间的导管 (>24小时) 会增加尿路感染的风险和住院时间.
- 需要进一步的研究来建立有效的外科手术期间的策略.
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