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基线慢性病和最小侵入性部分切除术后的功能衰退之间的定量联系:一个多中心研究
Xiaojun Tan1, Yu Zhou1, Pan Zhao1
1Department of Urology, Beijing Anzhen Nanchong Hospital of Capital Medical University and Nanchong Central Hospital, The Second Clinical Medical College, North Sichuan Medical University, Nanchong, China.
基线功能不佳的患者在部分切除术后面临更高的风险. 最初的功能和手术后的衰退之间的关系是非线性的.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- 基线功能对于部分切除术 (PN) 后的结果至关重要.
- 预先存在的功能对术后衰退的确切影响仍然不清楚.
研究的目的:
- 为了研究基线功能和PN后功能下降之间的关联.
- 分析术前eGFR与术后结果之间的非线性关系.
主要方法:
- 546名接受PN (2014-2021) 的患者的回顾性分析.
- 患者分为CKD (eGFR <60) 和正常 (eGFR ≥60) 组.
- 限制立方线和考克斯回归分析了功能变化.
主要成果:
- 平均eGFR下降率为-8.0% (百分比) 和-8.2毫升/分钟/1.73平方米 (绝对).
- 基线功能受损的患者有更多的并发症 (34.5%与16.1%) 和CKD升级 (23.1%与12.2%).
- 在基线功能水平>25%的eGFR下降风险出现了U形模式.
结论:
- 基线功能受损增加了外科手术后并发症和功能衰退的风险.
- 基线功能和术后衰退之间的关系是非线性的.
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