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辐射诱导的直尿:一个可怕的并发症,具有毁灭性的后果.
Kyeong Ri Yu1,2, Lucas Keller-Biehl1,2, Leon Smith-Harrison3
1Department of Surgery, Richmond VA Medical Center, 1201 Broad Rock Blvd, Richmond, VA 23249, United States.
Surgery in practice and science
|January 23, 2025
概括
直尿 (RUF) 是前列腺癌辐射的破坏性并发症. 辐射直肠炎的积极管理至关重要,因为经常需要转移,只有在特定情况下才能进行修复.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 辐射瘤学 辐射瘤学
- 胃肠病学 胃肠病学
背景情况:
- 前列腺癌的放射治疗可能导致严重的并发症.
- 直尿 (RUF) 是这种治疗的罕见但毁灭性的后果.
研究的目的:
- 为了评估16年来与直尿管 (RUFs) 的经验.
- 了解前列腺癌患者辐射诱导的RUF的后果和管理.
主要方法:
- 从2004年到2020年,对电子病历进行了回顾性审查.
- 对患者人口统计,临床表现,诊断和手术管理的分析.
- 鉴定了七名患有辐射诱导的RUF的患者.
主要成果:
- 所有7名患者都是男性,诊断时平均年龄为66岁.
- 在7名患者中,有6名患者的放射性直肠炎与直肠之前的.
- 常见的症状包括便,肺炎和直肠疼痛;CT是主要的诊断工具. 治疗涉及所有患者的转移,只有一个最终的修复.
结论:
- 排尿直囊是前列腺癌辐射的可怕,尽管很少见的并发症.
- 带有直肠的辐射直肠炎是前体,需要积极管理.
- 虽然转移可以控制症状,但最终的修复仅限于由于伴随性疾病或死亡率而选择患者.
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