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大陆皮肤尿路转移后的长期并发症和功能.

Mads Jacob Haugaard Hansen1, Maja Vejlgaard1, Mie Skjøttgaard Ynddal1

  • 1Urological Research Unit, Department of Urology, Centre for Cancer and Organ Diseases, Copenhagen University Hospital - Rigshospitalet.

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大陆皮肤性尿路转移 (CCUD) 导致囊切除术后患者的抑留率高. 然而,大多数患者在五年内需要重新干预,这突出了尿路转移管理的权衡.

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科学领域:

  • 泌尿器科 泌尿器科 泌尿器科 泌尿器科
  • 手术瘤学手术瘤学
  • 腎臟病學 (nephrology) 是一種醫學專業.

背景情况:

  • 关于大陆皮肤性尿路转移 (CCUD) 的功能结果的数据有限.
  • 本研究旨在为尿路转移的共享决策提供见解.
  • 通过CCUD构造来研究囊切除术后的长期结果至关重要.

研究的目的:

  • 调查大陆皮肤性尿路转移 (CCUD) 的长期功能结果.
  • 为接受尿路转移的患者指导共享决策.
  • 通过CCUD评估结囊切除术后的制率,再干预风险,并发症和功能.

主要方法:

  • 对50名用CCUD (2010-2023) 进行囊切除术的患者的医疗记录进行了回顾性审查.
  • 主要结局:自制率. 二次结果:晚期重新干预,并发症和功能.
  • 竞争性风险分析被用来计算重新干预的累积风险.

主要成果:

  • 随访时间中位数为5.7年.
  • 92%的患者在手术后167天的中位数内实现了3小时的禁欲.
  • 重复干预的绝对五年累积风险为71%,其中2/3的患者至少需要一次重复干预.

结论:

  • 大陆皮肤性尿路转移 (CCUD) 能够使囊切除术后的患者保持高抑留率.
  • 大多数患者 (71%) 在五年内需要重新干预.
  • 在共享决策时,应考虑到高的再干预率以及节的成就.