经皮围超声导向前列腺活检在男性与直肠截肢的直肠截肢
Pietro Pepe1, Ludovica Pepe2, Vincenzo Fiorentino3
1Urology Unit, Cannizzaro Hospital, Catania. piepepe@hotmail.com.
概括
通过皮肤进行的围超声波有效指导男性的前列腺活检后的直肠截肢,准确地诊断出临床上显著的前列腺癌 (PCa) 与最小的并发症. 这种方法有助于在具有挑战性的患者群体中检测PCa.
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:
- 经过直肠截肢的男性在前列腺癌 (PCa) 检测方面存在独特的挑战.
- 以前的直肠手术可以改变盆腔解剖学,使传统的活检指导复杂化.
研究的目的:
- 为了评估穿皮围超声导向前列腺活检的疗效和安全性.
- 评估其在疑似PCa的男性中具有直肠截肢病史的有用性.
主要方法:
- 一组10名男性 (年龄47-76岁) 怀疑PCa后的proctocolectomy接受了活检.
- 活检包括实时围超声指导下的系统扩展 (ePBx) 和认知向 (TPBx) 方法.
- 使用PI-RADS评分的多参数MRI (mpMRI) 用于病变识别.
主要成果:
- 在50%的患者中诊断出具有临床意义的PCa (csPCa).
- 围超声导向活检取得了很高的检测率:100%的ePBx和90%的TPBx.
- 没有报告需要住院治疗的显著临床并发症.
结论:
- 透皮围超声波是指导前列腺活检的可行和准确的方法,用于有直肠截肢病史的男性.
- 这种技术可以促进系统和有针对性的活检,在这个特定的患者群体中改善PCa检测.
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