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前列腺癌患者在HoLEP期间和之后出现出血风险增加:一个多中心比较队列研究

Angelo Porreca¹, Filippo Marino¹, Davide De Marchi¹

¹Department of Urology Humanitas Gavazzeni Bergamo Italy.

|September 19, 2025

概括

前列腺癌在荷尔激光切除前列腺 (HoLEP) 期间增加出血风险. 已知患有癌症的患者面临更高的并发症率,需要仔细的术后管理.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
血液静止血液静止血液静止

背景情况:

前列腺的Holmium激光取核 (HoLEP) 是一种常见的治疗良性前列腺增生的程序.
前列腺癌对HoLEP期间出血并发症的影响需要进一步调查.

研究的目的:

在前列腺癌患者的HoLEP后评估出血并发症的频率和严重程度.
为了比较前列腺癌患者和匹配的对照组之间的HoLEP结果.

主要方法:

一项多中心的回顾性研究,将175名前列腺癌患者与500名接受HoLEP的匹配对照进行比较.
分析手术期间流失的血液,输血需要,凝块保留,重新手术和再接收.

主要成果:

前列腺癌患者的手术内出血,输血和凝块保留率显着更高.
已知前列腺癌 (25.0%) 和抗凝剂治疗独立增加了出血风险.
在前列腺癌和抗凝固药治疗的患者中观察到协同效应.

结论:

前列腺癌,特别是当手术前已知时,显著提高了HoLEP期间和之后的出血风险.
外科医生必须预料到血管性增加,并优化外科期间的策略,以尽量减少出血并发症.

关键词:

在 HoLEP 里面.抗血栓治疗是一种抗血栓治疗.出血并发症出血并发症前列腺癌是前列腺癌.这是一项回顾性队列研究.输血是输血的方法之一.

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