对于良性前列腺增生症的水洗后的特兰克萨姆酸和血液结局结果
Phillip Taboada1, Rohit R Badia1, Dhillon Advano1
1Department of Urology, The University of Texas Southwestern Medical Center, Dallas, TX 75390, USA.
The Canadian journal of urology
|November 12, 2025
概括
当与良性前列腺激增症 (BPH) 的水洗后的有限透尿切除 (TUR) 相结合时,素酸 (TXA) 对出血的影响最小. 在这种情况下,不建议常规使用TXA.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 医疗器械技术 医疗器械技术
背景情况:
- 灌水是一种用于治疗良性前列腺增生 (BPH) 的机器人喷水疗法.
- 手术后出血的担忧导致了有限的通过尿道切除 (TUR) 和烧结.
- 这项研究评估了使用特兰胺酸 (TXA) 在水化后有限的TUR.
研究的目的:
- 评估特兰胺酸 (TXA) 对出血症结局的影响.
- 为了评估TXA的效果,当与有限的顺尿管切除 (TUR) 结合在BPH的水治疗后.
主要方法:
- 对131名接受水治疗的患者的回顾性分析.
- 提取的数据包括人口统计数据,前列腺和手术细节,以及血结局.
- 克鲁斯卡尔-瓦利斯测试用于中位数比较.
主要成果:
- 113名患者 (86%) 患有有限的TUR;31人 (27%) 接受了TXA.
- TXA并没有显著影响血红蛋白水平或与出血症有关的并发症.
- 血结局与前列腺大小或TUR体积无关.
结论:
- 在Aquablation之后的有限的TUR提供了有效的血液静止.
- 特兰胺酸 (TXA) 对出血的影响很小,血栓栓塞事件的风险没有增加.
- 应重新考虑常规TXA的使用,当有限的TUR执行后Aquablation.
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