由外科护理从业者进行的系统性过直肠超声导向前列腺活检的结果以及对资源贫困国家的影响
Reginald Ononye1, Joanne Roberts1, Kenechukwu Igbokwe2
1Urological Surgery, Glan Clwyd Hospital, Bodelwyddan, GBR.
Cureus
|December 27, 2024
概括
外科护理从业者可以安全地进行跨直肠超声导向 (TRUS) 前列腺活检,达到59%的癌症检测率. 这表明它们有潜力改善前列腺癌诊断的准入,特别是在资源有限的环境中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 在外科手术实践中.
背景情况:
- 前列腺癌是全球领先的健康问题,需要通过活检进行准确的组织学诊断.
- 熟练的专业人员对于前列腺癌诊断至关重要,外科护理从业者 (SCP) 扩大角色,包括活检.
- 跨直肠超声引导前列腺活检 (TRUS) 是一个关键的诊断程序.
研究的目的:
- 评估由SCP进行的TRUS前列腺活检的结果.
- 评估SCP执行的活检的诊断产量和并发症率.
- 探索有关前列腺癌诊断对资源贫困国家的影响.
主要方法:
- 由SCP (2020-2022) 进行TRUS前列腺系统活检的218名患者的回顾性数据收集.
- 评估前列腺特异性抗原 (PSA) 水平,MRI 利克特得分和组织学数据.
- 对癌症检测率和并发症发生率的分析.
主要成果:
- 患者平均年龄为69.7岁,平均PSA为61.2ng/ml;平均每次活检12个核心.
- 癌症检测率为59% (128/218),平均格里森等级为2.8.
- 低并发症率 (1%),没有死亡率;较高的MRI利卡特得分与阳性活检相关.
结论:
- 经过培训和监督的SCP可以安全有效地进行TRUS前列腺活检.
- 通过SCP进行的活检显示出显著的癌症检测率,与既定程序相比.
- 这种方法可能会提高在服务不足的地区获得前列腺癌诊断的机会.
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