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常规的年度成像不帮助诊断新的功能并发症超过五年后RC与阴道管
Joanneke B Ringia1,2, Femke E F Scholte3, Renee A G Lijnen3
1Department of Urology, Netherlands Cancer Institute, Amsterdam, The Netherlands. j.ringia@nki.nl.
World journal of urology
|September 3, 2025
概括
在根性囊切除术 (RC) 后,常规的年度成像很少发现超过5年的并发症. 建议在常规监测中进行临床成像,以检测尿道肠结构 (UES) 或尿病.
科学领域:
- 尿道病学
- 癌症学
- 放射学
背景情况:
- 根性囊切除术 (RC) 是膀癌的标准治疗方法.
- 在RC之后的长期监测策略需要评估,特别是在常规成像的有用性方面.
- 识别诸如水解,尿道肠结构 (UES) 和尿病等并发症对于患者的治疗至关重要.
研究的目的:
- 评估常规年度成像的诊断产量,以检测五年多以后的阴囊切除术 (RC) 后的并发症.
- 在这个患者群体中确定新的或渐进的水解和成像诊断的并发症,如UES和尿病.
主要方法:
- 在2011年至2018年间接受RC的82名患者的回顾性分析.
- 包括标准不包括没有功能性随访,癌症进展或在5年内诊断出UES的患者.
- 功能性后续包括每年成像 (超声波或CT) 和实验室检查.
主要成果:
- 常规的年度成像很少发现新的或渐进的水 (7. 3% 的患者).
- 没有通过常规年度成像诊断出尿道肠结构 (UES).
- 只有在临床症状促使进一步调查后才诊断出一个UES病例.
结论:
- 经过RC五年以后的常规年度成像检查对检测并发症具有有限的价值.
- 这项研究表明,常规监控成像不能帮助诊断UES或尿病.
- 图像检查应保留在具有临床迹象的病例中,而不是常规后续检查.
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