在术后泌尿功能障碍中确定风险因素,用于直肠胃肠道瘤
Jun Kataoka1, Yuichiro Tsukada1, Masashi Wakabayashi2
1Division of Colorectal Surgery National Cancer Center Hospital East Kashiwa Japan.
Annals of gastroenterological surgery
|November 7, 2025
概括
手术后泌尿功能障碍影响了直肠胃肠道瘤手术后24.4%的患者. 男性性别和较大的瘤大小 (≥50mm) 是关键的手术前风险因素,影响患者的生活质量.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 直肠胃肠道侧面瘤 (GISTs) 需要以治疗切除和器官保存为重点的外科治疗.
- 术后的生活质量,特别是尿路功能,对于接受直肠GIST手术的患者来说是一个重大问题.
- 以前的研究表明,在直肠GISTs的手术切除后,尿路功能障碍的发病率很高.
研究的目的:
- 为了确定直肠GIST手术后手术后泌尿功能障碍的发生率.
- 在为直肠GISTs治疗的患者中确定与尿路功能障碍相关的术前风险因素.
主要方法:
- 这是一项回顾性研究,包括在2008年1月至2022年3月期间接受了直肠GIST手术的45名患者.
- 瘤大小通过MRI评估;术后泌尿功能障碍以排放时的导管需求来定义.
- 进行单变量和多变量分析以确定风险因素.
主要成果:
- 手术后泌尿功能障碍的发生率为24.4%.
- 统一分析确定瘤大小≥50mm和手术前向治疗是危险因素.
- 多变量分析显示男性性别 (OR=8.2) 和瘤大小≥50mm (OR=9.0) 是独立的手术前风险因素.
结论:
- 术后泌尿功能障碍发生在直肠GIST手术后24.4%的患者中.
- 泌尿功能障碍的术前风险因素包括男性性别和瘤大小≥50mm.
- 这些发现有助于进行手术前风险评估和为直肠GIST管理提供患者咨询.
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