通过直肠前列腺活检后的前列腺镜检可以控制前列腺活检后的直肠出血
Yoshitsugu Nasu1, Yuya Kawago1
1Department of Urology, Okayama Rosai Hospital, Okayama, Japan.
概括
在前列腺活检后直肠出血是常见的. 排尿镜能有效地识别出血,并允许快速静血,减少并发症和泌尿科医生的担忧.
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
- 医疗器械 医疗器械
背景情况:
- 直肠出血是经过直肠超声导向前列腺活检 (TRPB) 的常见并发症.
- 在TRPB后出现大量直肠出血,具有严重的危及生命的风险.
- 早期识别和治疗直肠出血对于患者的安全至关重要.
研究的目的:
- 为了确定TRPB后直肠出血的发生率.
- 为了评估前镜在控制活检后直肠出血方面的疗效.
- 评估前镜在治疗与TRPB相关的出血中的有用性.
主要方法:
- 一项涉及256名在局部麻醉下接受TRPB的患者的研究.
- 进行了活检后的前镜检查,以分级直肠出血的严重程度 (G0-G3).
- 血液静止是通过布压缩或必要时通过直接合出血部位实现的.
主要成果:
- 近一半的患者 (48.3%) 经历了需要静血的直肠出血 (G2/G3).
- 在125例受影响病例中,压缩成功控制了121例出血.
- 仅在四个病例中需要施術,没有报告后部出血并发症.
结论:
- 前镜可提供精确的可视化,用于有效的压力血液静止.
- 直接视觉接提供了一种可靠的方法,用于难以控制的出血.
- 在TRPB后进行例行前镜检查可以缓解泌尿科医生对直肠出血的担忧.
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