影响膀穿孔的因素在膀癌的顺尿切除过程中:综合分析
Enis Mert Yorulmaz1, Osman Kose1, Serkan Ozcan1
1Department of Urology, Izmir Katip Celebi University, 35360 Izmir, Turkey.
Archivos espanoles de urologia
|July 10, 2024
概括
膀瘤的经尿道切除期间的膀穿孔与双极能量使用,阻塞器反射和Bacillus Calmette-Guérin疗法有关. 变异性组织学并没有显著增加穿孔风险.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术瘤学手术瘤学
- 在瘤学瘤学.
背景情况:
- 膀穿孔 (BP) 是经尿道切除膀瘤 (TURBT) 的已知并发症.
- 多种因素可以导致在 TURBT 期间发生高血压.
- 在膀癌 (BC) 的变异组织学中调查血压率对于患者的安全至关重要.
研究的目的:
- 为了调查膀穿孔 (BP) 的率,在患有膀癌 (BC) 变异性组织学,接受TURBT的患者中.
- 为了确定与高血压风险增加相关的临床因素在TURBT期间.
- 分析特定的手术参数和患者病史对血压发生的影响.
主要方法:
- 在2015年至2023年期间,对797名接受TURBT的患者进行了回顾性分析.
- 患者被分为两组:有血压 (n=53) 和没有血压 (n=744).
- 对人口,手术,术后和随访数据的分析,以确定BP的危险因素.
主要成果:
- 在使用双极能量时观察到更高的血压率 (p=0.027).
- 在TURBT期间的闭塞反射显著增加了血压风险 (p<0.001).
- 之前的静脉注射Bacillus Calmette-Guérin (BCG) 治疗与增加的血压率有关 (p=0.023).
结论:
- 双极能量,阻塞反射和先前的BCG疗法是 TURBT期间增加血压风险的重要因素.
- 膀癌的变异组织学没有发现与高血压风险的增加有显著关联.
- 了解这些因素对于改善患者安全和TURBT程序的结果至关重要.
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