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前列腺和骨盆成像参数,以预测激进前列腺切除术后勃起功能恢复:一个系统的审查
Abdullah Al-Mitwalli1,2, Tarim Kayhan3, Mudassir Wani4
1University College London Hospital, Urology, London, UK. abdullah.al-mitwalli23@ucl.ac.uk.
International journal of impotence research
|May 2, 2025
概括
预测前列腺癌手术后勃起功能 (EF) 恢复对于患者护理至关重要. 这次审查发现没有任何一个成像参数与前列腺切除术后EF恢复有强烈的相关性,这突显了需要进一步研究的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
- 在瘤学瘤学.
背景情况:
- 针对前列腺癌的激进前列腺切除术可以导致长期的尿失禁和勃起功能障碍 (ED).
- 预测勃起功能恢复对于患者咨询和及时治疗勃起障碍至关重要.
研究的目的:
- 系统地审查成像参数,以预测腹腔镜或机器人前列腺切除术后勃起功能 (EF) 恢复.
- 评估手术前和手术内成像对术后EF的影响.
主要方法:
- 从2000年1月到2023年12月对出版物的系统搜索.
- 包括使用MRI,扩散张力成像 (DTI) 或手术内超声波的8项研究.
- 在基线和术后使用经过验证的问卷进行正式的EF评估.
主要成果:
- 手术前的MRI参数,如对比度增强 (Ratio120) 和神经血管束 (NVB) 区域,与EF恢复有微弱至中度的相关性.
- 与神经纤维变化相关的扩散张力成像 (DTI) 参数与EF的相关性较弱.
- 在手术期间对NVB血管的超声波评估与术后EF相关.
结论:
- 没有一个成像参数能够强烈预测前列腺切除术后EF恢复.
- 在mpMRI和手术内超声波上进行前列腺增大需要进一步的研究.
- 需要更多的研究来确定EF前列腺切除术后EF可靠的预测参数.
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