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没有重新干预的男性第二次人工尿道关植入物的生存率:法国的一项基于国家医疗保健数据系统的研究
Elliot Tokarski1, Yoann Taillé2, Emmanuel Chartier-Kastler1
1Department of Urology, Pitié-Salpêtrière University Hospital, Sorbonne University, AP-HP, Paris, France.
概括
植入第二个人工尿 (AUS) 植入为男性压力尿失禁 (SUI) 提供了持久的结果. 设备更换的结果比移除后的再植入更好,为患者咨询提供信息.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 外科手术的结果
背景情况:
- 人工泌尿 (AUS) 是男性严重压力尿失禁 (SUI) 的标准.
- 在初始AUS植入后的长期结果已经确定,但重新干预的预后不太清楚.
研究的目的:
- 评估第二次AUS植入后的长期无再干预生存率.
- 为了比较AUS设备更换和移除后再植入之间的结果.
主要方法:
- 全国范围,以人口为基础,法国的回顾性队列研究 (2006-2018).
- 包括男性 (≥18岁) 接受第二次AUS植入用于SUI.
- 分析了1619次AUS植入 (1165次更换,454次重新植入).
主要成果:
- 随访时间中位数为53个月.
- 在2,5年和10年无重复干预的生存率分别为81%,68%和61%.
- 设备更换显示出比再植入更好的生存率 (p <0.001);只有21%的被移除的AUS病例接受了再植入.
结论:
- 第二次AUS植入提供了与初级植入物相比的持久,长期的结果.
- 预后受重新干预类型的影响;替换优于摘除后的再植入.
- 在AUS移除后的低再植入率为患者咨询提供了关键数据.
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