相关实验视频
Updated: Jun 14, 2025

12:10
Retzius-Sparing Robot-Assisted Radical Prostatectomy
Published on: May 19, 2022
7.6K
在SpaceOAR安置后结合永久性前列腺支臂疗法后的直肠穿孔
Masashi Morita1, Mayo Tanabe2, Chisa Kinugawa1
1Department of Urology Showa University Koto Toyosu Hospital Tokyo Japan.
IJU case reports
|September 3, 2024
概括
在用于前列腺癌治疗的SpaceOAR安置后发生了一种罕见的直肠穿孔. 这种并发症虽然不常见,但强调了在放射性瘤学中需要保持警和有效的管理策略.
科学领域:
- 在瘤学瘤学.
- 医疗器械 医疗器械
- 辐射疗法 辐射疗法
背景情况:
- 在放射治疗期间,SpaceOAR水凝用于在前列腺和直肠之间创造空间.
- -125低剂量率支臂治疗是一种局部性前列腺癌的治疗方法.
研究的目的:
- 在SpaceOAR安置和前列腺癌LDR-BT后报告直肠穿孔病例.
- 描述这种并发症的诊断过程和保守的管理.
- 强调识别和管理与SpaceOAR相关的直肠损伤的重要性.
主要方法:
- 一名患有前列腺癌的65岁男性接受了SpaceOAR安置,随后进行了LDR-BT.
- 最初的术后成像是正常的.
- 结肠镜检查显示了与SpaceOAR有关的直肠穿孔.
- 开始使用Macrogol 4000和低残留物饮食进行保守的管理.
主要成果:
- 在SpaceOAR安置两周后,患者出现了直肠穿孔.
- 穿孔成功地在非手术情况下进行了管理.
- 在六个月内,直肠穿孔完全愈合.
结论:
- 直肠穿孔是一种已知的,尽管不常见,与SpaceOAR放置相关的严重不良事件.
- 保守的管理可以有效的SpaceOAR诱导的直肠穿孔.
- 警和适当的管理策略对于处理前列腺癌患者的这种并发症至关重要.
相关概念视频
Esophageal Perforation-I: Introduction
76
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
76
Esophageal Perforation-II: Clinical Manifestations and Management
53
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
53

