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脏瘤的皮肤化:基于自身材料的并发症
Wojciech Krajewski1, Maciej Guziński2, Jan Łaszkiewicz3
1Department of Minimally Invasive and Robotic Urology, University Center of Excellence in Urology, Wrocław Medical University, Wrocław, Poland.
概括
透皮结 (PCA) 是对细胞癌 (RCC) 的安全治疗方法,在最初的学习曲线中存在较低的重大并发症风险. 这种微创手术在75例病例中显示出良好的安全性.
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.
- 干预性放射学 干预性放射学
背景情况:
- 部分切除术 (PN) 是T1细胞癌 (RCC) 的标准.
- 透皮冷 (PCA) 是对精选的RCC患者的新兴治疗选择.
- 微创手术具有固有的风险和毒性.
研究的目的:
- 评估皮肤透过结缩治疗 (PCA) 的安全性.
- 评估PCA的初始学习曲线 (前75个病例) 中的并发症.
主要方法:
- 68名患者中的75个瘤用PCA治疗.
- 以超声波 (USG) 和计算机断层扫描 (CT) 为指导的程序.
- 在手术后4周监测并发症.
主要成果:
- 患者队列是老年人,超重,并有显著的并发症.
- 轻微并发症包括疼痛 (21.3%),围血瘤 (6.7%),不适 (20.0%),恶心/吐 (8.0%) 和出血 (6.7%).
- 没有需要输血,只有一个病人需要轻微的手术.
结论:
- 通过皮肤进行结缩 (PCA) 显示出有利的安全性.
- 在最初阶段,PCA与严重并发症的风险非常低.
- 对于T1细胞癌来说,PCA是一种可行的,安全的治疗选择.
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