在非泌尿外科手术期间,预防性尿道导管用于尿道识别的结果
Luke Drew1, Daniel Jhang1, Kirulus Amin1
1Department of Urology, Loma Linda University Health, Loma Linda, California, USA.
Journal of endourology
|October 31, 2025
概括
在非泌尿外科手术期间的预防性尿路导管 (PUC) 具有显著的并发症风险,并不能防止尿路损伤. 之前的盆腔辐射是不良结果的关键预测因素.
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
- 患者安全 患者安全
背景情况:
- 预防性尿管导管 (PUC) 在非泌尿外科手术中很常见,以防止尿管损伤.
- 支持PUC的益处的证据是相互矛盾的,关于相关并发症的数据不清楚.
研究的目的:
- 在非泌尿外科手术中评估常规PUC的结果和并发症率.
- 为了确定PUC相关并发症的预测因素.
主要方法:
- 在非泌尿外科手术期间接受PUC的233名患者的回顾性审查 (2019年1月-2024年3月).
- 对人口统计,临床和术后数据的分析,包括尿管损伤和90天后的并发症 (低级:尿路感染,出血症,侧侧疼痛;高级:水,需要干预).
- 后勤回归用于识别并发症的预测因素.
主要成果:
- 43%的患者出现了泌尿系统并发症,包括尿路感染 (22.3%),严重出血症 (24.4%) 和新的/恶化的水 (9.9%).
- 在手术期间尿道损伤率为3.9%.
- 之前的盆腔辐射是高度并发症的重要预测因素 (OR 3.29).
结论:
- 在非泌尿外科手术中的常规PUC与泌尿症并发症的显著风险有关.
- PUC并不能消除尿管损伤的风险.
- 之前的盆腔辐射是PUC相关并发症的重要风险因素.
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