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对于非泌尿病恶性瘤的盆腔除后的泌尿学结果
A Lazarovich1, T Drori1, Y Guttman2
1Department of Urology, Chaim Sheba Medical Center, Affiliated to Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
Heliyon
|April 22, 2024
概括
癌症的盆腔排骨 (PE) 可以导致严重的泌尿系统问题. 手术后尿道并发症很常见,通常与癌症复发有关.
科学领域:
- 在瘤学瘤学.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
背景情况:
- 盆腔排骨 (PE) 是对晚期或复发的盆腔恶性瘤的关键救援疗法.
- 在PE期间的尿路重建经常导致术后并发症.
- 对结直肠和妇科瘤癌症的PE后泌尿器科结果的评估至关重要.
研究的目的:
- 评估经过盆腔排骨的患者的短期和长期泌尿结果.
- 确定PE后泌尿症并发症的发生率和预测因素.
- 为了比较结直肠和妇科瘤恶性瘤病例之间的结果.
主要方法:
- 在2010年至2018年期间接受PE的22名患者的回顾性分析.
- 纳入标准:局部晚期或复发的结直肠 (CR) 和妇科瘤 (GO) 恶性瘤.
- 终点:手术后没有泌尿系统并发症.
主要成果:
- 59%的患者患有CR的PE,41%的GO恶性瘤;平均年龄54岁;中位数随访19个月.
- 在手术前发生的水缩36.3%;在手术后发生的水缩59%.
- 疾病复发与75%的PE后脏排水需求相关;两年无排水率为68%.
结论:
- 盆腔排骨后的泌尿系统并发症是常见的.
- 疾病复发是导致PE后泌尿病发病的一个重要因素.
- 密切监测尿道并发症对于PE幸存者至关重要.
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