引用本文: |
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刘昭辉,洪哲,罗华荣,等.尿道狭窄术后复发的相关危险因素评估[J].同济大学学报(医学版),2016,37(4):55-59. [点击复制]
- LIU Zhao-hui,HONG Zhe,LUO Hua-rong,et al.Risk factors for postoperative recurrence of urethral stricture[J].Journal of Tongji University(Medical Science),2016,37(4):55-59. [点击复制]
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摘要: |
目的 评估尿道狭窄术后复发的相关危险因素。方法 回顾性分析2011年1月至2014年12月间,因尿道狭窄在同济大学附属同济医院行手术治疗233例患者临床资料及术后随访资料。结果 尿道狭窄术后再复发的平均时间及中位数时间分别是28.1个月(8~46个月)和27个月。COX比例风险回归分析显示手术方式、狭窄部位、围手术期感染、及随访时间是影响术后狭窄复发的重要因素(P<0.05)。结论 术前围手术期预防感染,选择合适的手术方式可降低术后狭窄复发的风险。 |
关键词: 尿道狭窄 术后复发 危险因素 |
DOI:10.16118/j.1008-0392.2016.04.011 |
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投稿时间:2015-09-24 |
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基金项目:国家自然科学基金项目(81172426);上海市教委创新重点项目(12ZZ034) |
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Risk factors for postoperative recurrence of urethral stricture |
LIU Zhao-hui,HONG Zhe,LUO Hua-rong,XIANG Zhen-dong,WU Deng-long |
(Dept. of Urology, Tongji Hospital, Tongji University, Shanghai 200065, China) |
Abstract: |
Objective To assess the risk factors of postoperative recurrence of urethral stricture. Methods The clinical data of 233 patients, who underwent urological surgery in Tongji Hospital between January 2011 and December 2014 were retrospectively analyzed. Results The average and median time of urethral stricture recurrence after urological surgery was 28.1 months (8-46 months) and 27 months, respectively. COX proportional hazards regression analysis showed that surgical approach, stenosis, perioperative infection, and follow-up time were risk factors for postoperative stricture recurrence. (P<0.05). Conclusion Perioperative prevention of infection, select the appropriate surgical approach may reduce the risk of postoperative recurrence of urethral stricture. |
Key words: urethral stricture recurrence risk factors |