Lower urinary tract injury in women in the United States, 1979-2006.

Lower urinary tract injury in women in the United States, 1979-2006.
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DOI:
10.1016/j.ajog.2010.01.013
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发表时间:
2010-05
影响因子:
9.8
通讯作者:
Lowder JL
Lowder JL
中科院分区:
医学1区
文献类型:
--
作者:
Frankman EA;Wang L;Bunker CH;Lowder JL

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确定年龄调整率(AAR)的下尿路(LUT)损伤和发病率在选定的住院妇产科手术。我们利用了1979-2006年的全国医院出院调查。计算了18岁以上女性非产科膀胱和输尿管损伤的AAR以及各种子宫切除术类型和分娩的LUT损伤发生率。输尿管损伤的总体AAR从0.06/1000女性降至0.03/1000女性(1979-2006)。住院妇科手术的AAR从每1000名妇女24.9下降到11.8(1979-2006)。根据子宫切除术类型,LAVH(13.8/1000)和VH(13.1/1000)中膀胱损伤最高。子宫切除术中输尿管损伤在根治性子宫切除术中最常见(7.7/1000),LAVH最不常见(0/1000)。从1979年到2006年,住院外科手术时的输尿管损伤有所减少。这与住院妇科手术的急剧减少相对应。
To determine age-adjusted rates (AAR) of lower urinary tract (LUT) injury and incidence in selected inpatient gynecologic and obstetric procedures. We utilized the National Hospital Discharge Survey, 1979–2006. AAR of non-obstetric bladder and ureteral injuries and incidence of LUT injury for various hysterectomy types and deliveries were calculated for women > 18 years old. Overall AAR of ureteral injury decreased from 0.06 to 0.03 per 1000 women (1979–2006). AAR of inpatient gynecologic procedures decreased from 24.9 to 11.8 per 1000 women (1979–2006). By hysterectomy type, bladder injury was highest in LAVH (13.8 per 1000) and VH (13.1 per 1000). Ureteral injury recognized during hysterectomy was most common with radical hysterectomy (7.7 per 1000) and least common with LAVH (0 per 1000). Ureteral injuries at time of inpatient surgical procedures have decreased from 1979–2006. This corresponds with a sharp decrease in inpatient gynecologic procedures.
DOI: 10.1097/01.aog.0000242564.79349.b7
发表时间: 2006-12-01
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期刊: International urogynecology journal and pelvic floor dysfunction
影响因子: --
作者:
Drake, M J;Noble, J G
通讯作者: Noble, J G