在手术前期出现并发症时等待HoLEP结果
Clarissa Wong1, Perry Xu2, Meera Ganesh2
1Department of Urology, Northwestern University, 676 N St. Clair, Suite 2300, Chicago, IL, 60611, USA. clarissa.wong@northwestern.edu.
World journal of urology
|August 18, 2025
概括
在等待前列腺激光切除手术 (HoLEP) 期间出现并发症的患者面临更长的等待时间和更多的术后问题. 加速获得BPH程序对于更好的患者结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 良性前列腺增生 (BPH) 手术,包括前列腺的holmium激光核化 (HoLEP),通常是可选的,导致显著的患者等待时间.
- 在手术前的HoLEP等待期间,并发症的发生率和影响尚不清楚.
- 了解这些术前并发症对于改善患者管理和手术接入至关重要.
研究的目的:
- 为了研究在等待手术时出现并发症的患者中HoLEP的结果.
- 确定与手术前并发症相关的因素及其对手术等待时间和术后结果的影响.
- 评估术前并发症和随后的术后结果之间的关系.
主要方法:
- 对前性维护的HoLEP患者数据库的回顾性审查 (2021年1月 - 2023年8月).
- 术前,术后和术后特征的分析,包括手术要求的日期,并发症的发生和HoLEP.
- 统计分析以确定并发症对等待时间和结果的意义 (p < 0.05).
主要成果:
- 在918名患者中,有74人经历了手术前并发症,等待时间平均增加了31.2天.
- 记住了心脏和泌尿事件,心脏并发症导致113.5天的延迟.
- 患有术前并发症的患者更有可能依赖于导管,患有尿路感染,并经历更高的90天术后并发症率 (31.5%对20.4%).
结论:
- 尿路感染 (UTI) 史和导管依赖性预测HoLEP的手术前并发症.
- 手术前的并发症显著延迟了手术,并增加了术后并发症的可能性.
- 改善接入和加快BPH程序是必要的,以减轻与手术等待时间相关的风险.
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