在接受脏移植的男性中,跨直肠前列腺活检方法:在三个推学术中心进行了一项回顾性队列研究
Lucio Dell'Atti1, Viktoria Slyusar2, Piero Ronchi1
1Department of Urology, University-Hospital of Marche, 60126 Ancona, Italy.
Diagnostics (Basel, Switzerland)
|February 10, 2024
概括
跨直肠前列腺活检 (TR-PB) 是对怀疑患有前列腺癌的移植接受者的一种安全程序. 这项研究发现严重并发症的发病率很低,这表明这种患者群体的可行性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 在瘤学瘤学.
背景情况:
- 关于脏移植 (KT) 患者前列腺活检可行性的数据有限.
- 前列腺癌 (PCa) 查对KT接受者至关重要.
- 跨直肠前列腺活检 (TR-PB) 是一种常见的诊断工具.
研究的目的:
- 评估TR-PB在KT患者中的可行性和安全性.
- 评估TR-PB在这个特定人群中的并发症率和结果.
- 为了比较TR-PB的标准超声波 (US) 与MRI-US认知技术.
主要方法:
- 对121名接受TR-PB.的KT患者进行了基于人口的回顾性研究.
- 数据收集的并发症,一个和两个星期的活检后.
- 标准美国 (第一组,n=59) 和MRI-US认知 (第二组,n=62) 技术之间的比较.
主要成果:
- 整体早期副作用率 (Clavien-Dindo等级≤2) 为28.9%,主要是直肠出血和出血.
- 由于急性尿路滞留而重新入院的比例较低 (3.3%).
- 报告没有重大并发症;只有一次因直肠出血住院.
结论:
- 对于怀疑PCa的KT患者来说,TR-PB是一种安全的程序.
- 当由专家进行TR-PB时,严重并发症的风险很低.
- 标准化的程序途径提高了这个患者群体的安全性.
相关概念视频
01:28Kidney Transplant I: Introduction
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
01:26Kidney Transplant II: Surgical Procedure
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...
01:16Kidney Transplant III: Nursing Management
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...