便秘对经过直肠前列腺活检后急性尿的影响
Cahit Sahin1, Orhun Sinanoglu2, Yavuz Karaca2
1Department of Urology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Research and Training Hospital, Istanbul, Türkiye. cahitsahin129@gmail.com.
Investigative and clinical urology
|June 21, 2023
概括
慢性便秘 (CC) 是通过直肠超声导向前列腺活检 (TRUS PB) 后急性尿 (AUR) 的重要危险因素. 识别CC可以帮助预测和预防TRUS PB.接受TRUS PB.患者的AUR.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
背景情况:
- 急性尿 (AUR) 是通过直肠超声导向前列腺活检 (TRUS PB) 后的潜在并发症.
- 便秘是一种常见的疾病,可能会影响下尿路症状和前列腺手术后的结果.
研究的目的:
- 调查慢性便秘 (CC) 与TRUS PB后AUR发生之间的关联.
- 在接受TRUS PB的患者中识别AUR的风险因素.
主要方法:
- 对1167名接受TRUS PB治疗的患者进行前性研究.
- 使用罗马四号标准诊断的慢性便秘.
- 临床和组织病理学因素的多变量分析,包括IPSS,前列腺体积和CC.
主要成果:
- 在2.4%的病例中出现AUR.
- 慢性便秘在22.7%的患者中存在.
- 多变量分析确定前列腺体积,手术前IPSS和需要手动操纵的CC作为AUR显著风险因素 (分别p=0.023,0.010,0.001).
结论:
- 慢性便秘是TRUS PB后AUR的一个关键预测因素.
- 术前对便秘状态的评估可能有助于对AUR的风险分层.
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