警告活检的应用在皮肤穿神经瘤切除中
Jiajia Qiao1,2, Cong Tian1,2, Lizhe An1,2
1Urology Department, Peking University People's Hospital, Beijing, China.
Translational andrology and urology
|September 16, 2024
概括
通过皮肤进行结石切除术 (PCNL) 可以揭示脏盆腔瘤. 基于患者因素和手术内发现的早期预警活检系统有助于及时检测和治疗瘤.
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:
- 有限的临床指导通过皮肤进行瘤切除 (PCNL) 存在,涉及结石和通过手术内活检确定的骨脏瘤.
- 这项研究调查了结石和脏盆腔瘤之间的关系.
研究的目的:
- 分析在PCNL中发现的脏盆腔瘤的发病率和特征.
- 建立一个早期预警系统,用于在PCNL过程中检测瘤.
主要方法:
- 对接受PCNL结石治疗的患者病历的回顾性分析,粘膜活检结果异常.
- 在北京大学人民医院从2011年1月到2021年11月收集的数据.
主要成果:
- 在接受PCNL的2801名患者中,69名患者进行了手术内粘膜活检.
- 8例活检 (11.60%) 是恶性 (脏盆腔癌),61例 (88.40%) 是良性的.
- 恶性瘤的危险因素包括晚年,长期结石史,水,尿道感染和复杂的结石类型.
结论:
- 结合手术前数据和手术内观察的早期预警系统对于结石患者至关重要.
- 在PCNL期间对疑似瘤进行早期活检可以改善及时诊断和患者的治疗结果.
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