可膨胀阴茎假体植入术感染管理的证据总结  

Summary of evidence on infection management in expandable penile prosthesis implantation surgery

作　　者：张恩思 秦雪 崇武 张颖[2] 万婠 Zhang Ensi;Qin Xue;Chong Wu;Zhang Ying;Wan Wan(Department of Andrology,Drum Tower Hospital Affiliated to Nanjing University School of Medical,Nanjing 210008,Jiangsu,China;Department of Andrology,Nanjing Drum Tower Hospital Clinical College of Jiangsu University,Nanjing 210008,Jiangsu,China)

机构地区：[1]南京大学医学院附属鼓楼医院男科,江苏南京210008 [2]江苏大学鼓楼临床医学院男科,江苏南京210008

出　　处：《中国男科学杂志》2024年第5期34-41,共8页Chinese Journal of Andrology

基　　金：“南京大学中国医院改革发展研究院课题项目”;“南京鼓楼医院医学发展医疗救助基金会资助项目”(NDYG2022069);南京鼓楼医院临床研究专项资金资助(2022-LCYJ-PY-22);南京鼓楼医院护理重点课题(2023-R262)。

摘　　要：目的全面搜索、整合和评价可膨胀型阴茎假体植入术感染管理的有关证据,为临床阴茎假体植入术后感染预防、治疗及护理提供循证依据。方法根据证据资源金字塔“6S”模型全面检索临床决策支持网站(UpToDate)、各种指南网站、系统评价及原始研究网站(Cochrane Library、JBI、PubMed、知网、万方数据库)。检索时限为建库至2023年12月。结果共纳入8篇文献,包括3篇临床决策,2篇指南,1篇专家共识,1篇证据总结,1篇系统评价。共整理、评估获得包括术前评估、术前预防、阴茎假体选择、术中感染管理、术后感染管理5个方面的合计31条证据。结论本研究总结了可膨胀阴茎假体植入术后感染管理的31条证据,或可为可膨胀阴茎假体植入感染的预防及管理提供参考。Objective To comprehensively search,integrate,and evaluate relevant evidence on infection management during expandable penile prosthesis implantation for providing evidence-based evidence for the prevention,treatment,and nursing of implantation infections.Methods Based on the Evidence Resource Pyramid“6S”model,a comprehensive search was conducted on clinical decision support websites(UpToDate),various guideline websites,as well as system evaluation and original research websites(Cochrane Library,JBI,PubMed,CNKI,Wanfang Database).The search deadline is from database establishment to December 2023.Results A total of 8 articles were included,including 3 clinical decision-making articles,2 guidelines,1 expert consensus article,1 evidence summary article,and 1 systematic evaluation article.A total of 31 pieces of evidence were collected and evaluated,including preoperative evaluation,preoperative prevention,penile prosthesis selection,intraoperative infection management,and postoperative infection management.Conclusion This study summarizes 31 pieces of evidence on infection management after expandable penis prosthesis implantation,providing reference for the prevention and management of infection after expandable penis prosthesis implantation.

关 键 词：阴茎假体植入 假体相关感染 围手术期医护 循证实践 

分 类 号：R699.8[医药卫生—泌尿科学]