前列腺活检方法和并发症率
Kinga Mate1,2, Saleh Nedjim3, Simon Bellucci4
1Department of Urology, Péterfy Sándor Utcai Hospital-Clinic and Trauma Centre, Budapest 1076, Hungary.
Oncology letters
|August 10, 2023
概括
磁共振成像 (MRI) 导向的前列腺活检可能会增加早期的副作用,如出血症,但与标准活检相比,不会显著增加晚期或传染性并发症. 跨直肠活检显示,因败血症住院的病例率高于跨关节的方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 医疗成像医学成像
背景情况:
- 前列腺活检对于诊断前列腺癌至关重要.
- 以MRI指导的活检旨在改善临床上显著的前列腺癌的检测.
- 不同的活检技术的并发症率需要进行比较.
研究的目的:
- 为了比较标准的跨直肠超声导向 (TRUS) 活检和MRI导向加标准TRUS活检之间的并发症.
- 评估核心数对并发症率的影响.
- 为了将TRUS活检并发症与跨膜活检的文献数据进行比较.
主要方法:
- 84名接受TRUS活检的患者的前性研究 (2022年4月至6月).
- 患者被分为标准活检或标准加有针对性 (MRI引导) 组.
- 监测并发症的早期和晚期副作用,包括住院治疗.
主要成果:
- 58.3%的患者有针对性加标准活检; 41.7%只有标准活检.
- 早期的副作用 (血,血精) 在目标组加标准组显著高 (63.1%与28.6%的晚期副作用).
- 术后并发症的住院率为3.6%;TRUS败血症的入院率为2.29%;而跨膜活检的入院率为0-1%.
结论:
- 与标准TRUS活检相比,有针对性的加上标准的MRI导向前列腺活检会增加早期副作用,但不会增加晚期或传染性并发症.
- 通过直肠切除的方法显示,感染败血症的住院率高于跨膜活检.
- 需要进一步研究跨直肠和跨腹膜活检的住院并发症.
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