膀恶性瘤作为自发膀破裂的原因:系统性审查
Johnson Da Huang1, Emily Ximin Shao1, Chui Ming Tham2
1University of Queensland Brisbane Queensland Australia.
BJUI compass
|January 5, 2024
概括
膀癌患者的自发膀破裂很罕见,但致命. 这种情况通常呈现为急性腹部,与侵袭性瘤和高死亡率有关,需要紧急医疗照顾.
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.
- 手术病理学手术病理学
背景情况:
- 自发性膀破裂是一种罕见但严重的并发症.
- 膀癌是自发膀破裂的日益公认的危险因素.
- 这种情况呈现为急性腹部,并与显著的发病率和死亡率有关.
研究的目的:
- 在患有膀癌的患者中特征自发性膀破裂的病例.
- 确定这个患者群体中常见的临床表现,管理策略和结果.
主要方法:
- 按照系统审查和元分析 (PRISMA) 准则的首选报告项目进行了系统审查.
- 在相关数据库中搜索了膀癌患者自发膀破裂病例.
- 提取了包括人口统计,症状,瘤组织学,管理和死亡率在内的患者数据.
主要成果:
- 审查包括了30个案例.
- 呈现的中位数年龄为59岁,其中57%的患者是男性.
- 最常见的症状是腹痛 (80%) 和腹 (60%).
- 尿路细胞癌是最常见的组织学 (53%).
- 最初住院期间的死亡率为30%.
结论:
- 在膀癌的背景下自发的膀穿孔是急性腹部疾病的罕见原因.
- 这种诊断与高死亡率有关,强调了潜在恶性瘤的攻击性.
- 这种情况引发了关于紧急囊切除,全身治疗时间和息护理参与的关键问题.
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