在盆腔尿瘤手术中对直肠损伤的治疗方法的评估
Ata Özen1, Süleyman Öner1, Necdet Fatih Yaşar2
1Department of Urology, Faculty of Medicine, Eskisehir Osmangazi University, Eskisehir 26040, Turkey.
Journal of clinical medicine
|February 13, 2026
概括
在盆腔泌尿瘤手术期间的直肠损伤很少见,但很严重. 术前检测和初级修复,辅助术前肠道准备,是预防并发症和改善患者结果的关键.
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
- 胃肠病学 胃肠病学
背景情况:
- 直肠损伤是盆腔手术中罕见但严重的并发症.
- 盆腔泌尿瘤手术,包括激进的前列腺切除和囊切除,携带直肠损伤的风险.
- 有效的管理策略对于减轻相关的发病率和死亡率至关重要.
研究的目的:
- 报告在盆腔泌尿瘤手术期间遭受的直肠损伤初级修复的经验和结果.
- 评估术前肠道准备对直肠损伤管理的影响.
- 为了强调手术内检测和修复的重要性.
主要方法:
- 在2010年至2024年期间,对15名患有盆腔泌尿瘤手术 (根性前列腺切除或囊切除) 期间直肠损伤的患者进行了回顾性评估.
- 详细分析手术技术,包括双层关闭 (肌肉和血清).
- 评估手术前的肠道准备方案 (前列腺切除术,液体饮食和囊切除术的阴道).
主要成果:
- 根源性前列腺切除术后,直肠损伤发生率为1.4%,根源性囊切除术后为3.7%.
- 所有的伤害都在手术期间被确定并成功修复.
- 在随访期间,没有观察到尿直管或明显的术后并发症.
结论:
- 在手术期间识别和高质量的直肠损伤初级修复对于预防不良结果至关重要.
- 手术前的机械肠道准备是有益的,减少污染,改善外科现场可视化,以有效修复.
- 及时和精确的手术干预将在泌尿瘤外科手术中与直肠损伤相关的发病率和死亡率降至最低.
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