开放式和最少侵入性的骨质整形术的短期术后结果:来自NSQIP数据库的证据
Ramy Touma Sawaya1, Marwan Zein1, Maher Abdessater2
1Division of Urology, Department of Surgery, American University of Beirut Medical Center, P.O. Box 11-0236, Beirut, Lebanon.
World journal of urology
|February 18, 2026
概括
最少侵入性肌切除术 (MIP) 的整体并发症率与用于尿路皮层结阻的开放性肌切除术 (OP) 的整体并发症率相似. MIP与较短的逗留时间和较少的传染性并发症有关,支持其安全性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 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:
- 尿道盆腔结口阻塞 (UPJO) 可以导致严重的并发症.
- 皮叶造形术是UPJO的标准手术治疗.
- 最少侵入性技术 (MIP) 已经变得越来越普遍,但国家成人结局数据有限.
研究的目的:
- 为了比较30天的术后结果,在成人患者的开放型肌体塑造 (OP) 和最小侵入型肌体塑造 (MIP) 之间.
- 评估手术方法与并发症率,手术时间,停留时间,再入院和重新手术之间的关联.
- 用国家手术质量数据评估MIP与OP的安全性和有效性.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (NSQIP) 数据库的分析 2017-2023.
- 包括经过热塑性手术的成年患者 (MIP的CPT代码为50544,OP的CPT代码为50400/50405).
- 使用多变量回归模型来比较结果,根据患者人口统计和程序复杂性进行调整.
主要成果:
- 总共分析了2,712名患者,92.2%接受了MIP,7.8%接受了OP.
- 在MIP和OP (7.1%) 之间,整体30天的并发症率相似.
- 与MIP相比,开放式化术 (OP) 与更长的停留时间和更高的感染并发症率有关,包括败血症.
结论:
- 最少侵入性肌切除术 (MIP) 的整体术后并发症率与开放式肌切除术 (OP) 相当.
- 与OP相比,MIP与较短的逗留时间和较少的感染并发症有关.
- 这些发现支持在适当选择的UPJO成年患者中使用MIP.
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