局部麻醉性跨关节前列腺活检:它是否会影响尿流量测试结果?
İsa Dağlı1, Muhammed Zübeyr Canbolat1, Tuncel Uzel1
1Department of Urology, University of Health Sciences Dr. Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital, Ankara, Turkey.
概括
在局部麻醉下进行的甲经前列腺活检 (TP-Bx) 显示了对排泄功能轻微而暂时的影响. 急性尿 (AUR) 风险低于预期,支持TP-Bx作为安全的诊断选择.
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.
- 诊断程序 诊断程序 诊断程序
背景情况:
- 跨关前列腺活检 (TP-Bx) 可以降低感染风险并改善癌症检测.
- 对于TP-Bx的局部麻醉提供了临床和经济上的好处.
- 急性尿 (AUR) 是一种潜在的术后并发症.
研究的目的:
- 评估TP-Bx在局部麻醉下对患者排泄功能的影响.
- 为了评估TP-Bx后尿液流量计参数的变化.
主要方法:
- 74名接受TP-Bx.患者的前性观察性研究.
- 尿液流量计在手术前和后进行评估,测量最大 (Qmax) 和平均 (Qave) 流量,空化体积 (Vv) 和空化后残留量 (PVR).
主要成果:
- 在TP-Bx后观察到Qmax和Qave的显著降低 (p < 0.001).
- 无效后残留量 (PVR) 在手术后显著增加 (p < 0.001).
- 观察到的排泄参数的变化是轻微的,不需要导管.
结论:
- 在局部麻醉下TP-Bx显示出AUR的风险低于预期.
- 该程序是前列腺癌的安全和有效的诊断方法.
- 经验提高了TP-Bx.x的安全概况.
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