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在局部麻醉下使用自由手技术进行跨关前列腺活检:系统性审查和元分析
Benjamin M Mac Curtain1,2, Gavin Calpin1,3, Josh Bruinsma4
1Royal College of Surgeons in Ireland Dublin Ireland.
BJUI compass
|April 9, 2025
概括
在局部麻醉下进行跨关节前列腺活检对于检测临床显著前列腺癌是有效的. 这种安全且耐受性良好的方法显示了与其他技术相比的癌症检测率.
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.
- 医疗成像医学成像
背景情况:
- 在局部麻醉下进行的甲经前列腺活检 (TPPB) 是由欧洲泌尿病学协会认可的标准程序.
- 这种方法被广泛用于诊断前列腺癌.
研究的目的:
- 评估使用TPPB在局部麻醉下临床显著前列腺癌的综合检测率.
- 报告与TPPB相关的疼痛评分和并发症率.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 搜索了PubMed,Embase,Cochrane中央和灰色文学.
- 在PROSPERO注册 (ID:CRD42024588824). 在PROSPERO注册.
主要成果:
- 包括11项研究中的2881名患者.
- 临床显著的前列腺癌检测率总体为48%.
- 克拉维恩-丁多等级1-2并发症的综合率为2%.
结论:
- 在局部麻醉下TPPB是一种安全有效的前列腺活检方法.
- 局部麻醉不会影响癌症检测率.
- 与替代活检技术相比,TPPB的耐受性很好.
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