在患有骨盆器官脱落的患者中,预测导致持续排泄功能障碍的因素
Kenji Kuroda1, Koetsu Hamamoto1, Kazuki Kawamura1
1Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan.
在骨盆器官脱落修复后,术后排泄功能障碍可能会持续存在. 一个月后空余余尿量为100毫升或以上是长期功能障碍的重要预测因素.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科外科手术 妇科外科
- 盆地底疾病 盆地底疾病
背景情况:
- 手术后排泄功能障碍是骨盆器官脱落 (POP) 和压力尿失禁手术后的已知并发症.
- 虽然往往是短暂的,但长期的功能障碍需要了解其预测因素.
- 在POP修复后持续空白问题的原因尚不清楚.
研究的目的:
- 为了确定POP修复后长期术后排泄功能障碍的显著预测因素.
- 调查与持续高的空余后残留尿量相关的因素.
主要方法:
- 招募了174名接受POP手术的患者 (腹腔镜性阴道切除术或阴道网).
- 长期的功能障碍,定义为后空余 (PVR) 尿液容量≥100毫升在术后3个月.
- 统计分析包括皮尔森的奇平方测试和多重物流回归.
主要成果:
- 手术前PVR≥100毫升,手术后2-3天或1个月PVR≥100毫升,以及导管使用与3个月PVR≥100毫升有关.
- 多重逻辑回归确定了术后1个月的PVR≥100mL作为唯一的独立预测因子 (OR:42.79,P=0.0024).
结论:
- 术后1个月后空后残留尿量≥100毫升是3个月后长期空功能障碍的显著预测因素.
- 一个月后PVR≥100毫升的患者需要适当的管理,以防止长期的尿道问题.
更多相关视频
07:41Quantification of Levator Ani Hiatus Enlargement by Magnetic Resonance Imaging in Males and Females with Pelvic Organ Prolapse
Published on: April 17, 2019
10:19Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
相关概念视频
Urodynamic Studies: Uroflowmetry
Muscles of the Pelvic Floor and Perineum
Perineal Layer
The perineum is a diamond-shaped area below the pelvic diaphragm, divided into an anterior urogenital triangle that contains the external genitals and a posterior anal triangle housing the anus. The urogenital...
Imaging Studies VI: Voiding Cystourethrography and Cystography
Nursing Assessment of the Genitourinary System I: Health History
Urinary Bladder
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
