在接受骨盆地重建的老年妇女的发病率
Kay T Win1, Yahia Refaee1, Jaydip Dasgupta1
1Department of Obstetrics and Gynaecology, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, GBR.
Cureus
|December 31, 2025
概括
70岁及以上妇女的骨盆底重建 (PFR) 显示出低并发症率和有利的短期结果. 这种手术管理对于适当选择的老年患者来说是安全有效的,支持个性化评估.
科学领域:
- 泌尿和妇科 泌尿和妇科
- 老年人手术是一门老年手术.
- 盆地底疾病 盆地底疾病
背景情况:
- 骨盆底重建 (PFR) 在老年妇女中未得到充分利用,这是由于外科手术的风险.
- 增加预期寿命需要评估老年人群的PFR结果.
研究的目的:
- 审查70岁及以上妇女的术后发病率和PFR的短期结果.
- 将这些结果与已建立的临床基准进行比较.
主要方法:
- 追溯的队列审查86名70岁以上的妇女接受PFR.
- 分析患者人口统计,并发症,手术类型,并发症和复发情况.
- 使用患者报告数据 (ICIQ) 评估功能结果.
主要成果:
- 没有手术内并发症;手术后发病率低 (例如,4.6%的感染,4.6%的再入院).
- 72.1%的患者报告症状有所改善;没有与手术有关的死亡.
- 并发症率与国家基准值相美.
结论:
- 在适当选择的70岁或以上的优化女性中,PFR是安全的,短期结果有利.
- 低并发症率支持在个性化评估后进行手术管理.
- 需要进一步的前性研究来评估长期结果和脆弱性.
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