上泌尿道尿癌的静脉内疗法:综合性审查
Zheng Wang1, Haoqing Shi1, Yifan Xu1
1Department of Urology, Changhai Hospital, Naval Medical University, Shanghai 200433, China.
Cancers
|October 28, 2023
概括
预防性静脉治疗对于在上道泌尿道癌 (UTUC) 手术后预防膀复发至关重要. 优化治疗策略是改善UTUC患者治疗结果的关键.
科学领域:
- 尿瘤学 尿瘤学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
背景情况:
- 上管泌尿道癌 (UTUC) 带来了重大诊断和治疗挑战.
- 在UTUC手术后肠道复发是一个常见的和严重的担忧.
- 有效的预防策略对于管理UTUC患者至关重要.
研究的目的:
- 为UTUC提供预防性静脉内疗法的全面审查.
- 总结当前的临床应用,指南和试验数据.
- 讨论UTUC的静脉内治疗的未来方向.
主要方法:
- 对UTUC的静脉内疗法的现有文献的审查.
- 分析临床试验数据和指导方针建议.
- 综合各种临床情景和治疗参数的信息.
主要成果:
- 静脉内治疗对于降低UTUC手术后膀复发风险至关重要.
- 定制治疗 (定时,药物,剂量,频率) 对于最佳结果至关重要.
- 对于改善UTUC患者的治疗结果和减少复发,存在显著的潜力.
结论:
- 肠道治疗是管理UTUC的基石,特别是预防复发.
- 需要进一步的研究来完善剂量,持续时间,药物选择,并探索新的治疗方法.
- 优化静脉内治疗有望提高UTUC护理的有效性和安全性.
相关概念视频
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urinary Tract Calculi VI: Surgical Management
8
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
8
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
37
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
37
Urinary Tract Infection I: Introduction
22
Urinary tract infections (UTIs) impact various parts of the urinary system, including the kidneys, ureters, bladder, and urethra. These infections are generally bacterial, with Escherichia coli being the most common causative agent, often originating from the gastrointestinal tract. However, other bacteria, such as Staphylococcus saprophyticus, Klebsiella pneumoniae, and Proteus mirabilis, are also known to cause UTIs. The type, location, and underlying complexity of the UTI guide both...
22
Urinary Tract Infection III: Diagnostic Studies and Interprofessional Care
14
A healthcare provider can diagnose a urinary tract infection (UTI) through several methods:Medical History and Symptoms: The provider will take a detailed medical history and ask about symptoms such as frequent urination, burning sensation during urination, and lower abdominal pain.Urinalysis: A clean-catch urine sample is collected in a sterile container and tested for the presence of bacteria, white blood cells (leukocytes), nitrites, blood, and protein. The presence of leukocytes and...
14


