在骨盆器官脱落手术后发生术后尿的危险因素:元分析
Linlin Zhou1, Ling Dai1, Shuang Hu1
1Department of Obstetrics and Gynecology, Women and Children's Hospital of Chongqing Medical University, Chongqing, 400021, China.
Scientific reports
|November 25, 2025
概括
手术后尿 (POUR) 是骨盆器官缩 (POP) 手术后的一种常见并发症. 这次元分析确定了关键的风险因素,包括年龄较大,严重的囊和特定的手术程序,以帮助患者的风险分层和预防策略.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 基于证据的医学 基于证据的医学
背景情况:
- 手术后的尿 (POUR) 是骨盆器官脱落手术 (POP) 后的常见并发症.
- 在POP手术后对POUR风险因素的现有研究报告了不一致的发现.
研究的目的:
- 使用元分析方法,系统地综合和分析与POP手术后尿发生相关的风险因素.
主要方法:
- 在多个数据库 (PubMed,Cochrane Library,EMBASE,Web of Science,CBM,CNKI,WanFang,VIP) 进行了全面的文献搜索,截至2024年12月31日.
- 从2065篇已识别的文章中选择的19项研究被纳入了元分析.
- 分析了14个不同的POUR风险因素.
主要成果:
- 年龄较大 (OR=1.03),年龄≥60岁 (OR=1.29) 和更年期状态 (OR=1.44) 与POUR风险增加有关.
- 严重的囊 (OR=3.15),高的手术前后空气残留量 (PVR>200毫升) (OR=2.34),以及更长的手术时间 (OR=1.11) 显著增加了POUR风险.
- 特定的外科手术,包括前部修复 (OR=1.97),抗失禁手术 (OR=2.15) 和子宫切除 (OR=1.40),与POUR的更高发病率有关.
结论:
- 鉴定出的风险因素使得在手术前能够识别患有POUR高风险的患者.
- 研究结果支持优化手术前患者教育,指导预防POUR的外科决策.
- 这一元分析为临床实践提供了有价值的见解,以减轻POP手术后的POUR.
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