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评估门诊儿科肌肤整形手术的安全性:来自国家外科手术数据库的见解
Sri Saran Manivasagam1, Jennifer A Kane1, Ross M Decter1
1Department of Urology, Penn State Milton S. Hershey Medical Center, 500 University Dr, Hershey, PA, 17033, USA.
Journal of pediatric urology
|December 30, 2025
概括
门诊儿科皮叶整形手术是安全有效的,其结果与住院护理相似或更好. 这种方法可能会改善对护理的准入,尽管种族差异需要进一步研究.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 外科手术的结果
- 医疗保健服务研究 医疗服务研究
背景情况:
- 泌尿外皮交点阻塞 (UPJO) 常用热塑术进行治疗.
- 最少侵入性技术和门诊护理是儿科手术中日益增长的趋势.
- 有限的数据比较了住院患者和门诊儿科皮埃洛普拉斯蒂的结果.
研究的目的:
- 评估门诊和住院儿科皮叶塑术的安全性和短期结果.
- 确定门诊手术和不良结果的预测因素.
主要方法:
- 从ACS NSQIP-儿科数据库 (2021-2023) 中分析了4828例儿科皮叶整形手术.
- 根据手术环境对患者的分层 (住院患者与门诊患者).
- 使用后勤回归对30天术后并发症,再入院和再手术进行比较.
主要成果:
- 门诊手术在年龄较大的儿童中更为常见,并采用了最少的侵入性技术.
- 设置之间30天的传染性并发症没有显著差异.
- 住院患者的病例显示出更高的热塑性特异性再入院 (4.2%对2.8%) 和重新手术 (2.6%对1.1%) 率.
- 手术环境与不良术后结果无关;白人儿童更有可能接受门诊手术.
结论:
- 门诊儿科皮埃洛整形是住院护理的安全有效替代方案.
- 这些发现支持在儿科泌尿病学中更广泛地实施门诊途径.
- 在门诊外科手术中观察到的种族差异需要进一步调查.
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