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操作正确时会出现什么问题?医源性泌尿生殖系统并发症的图示回顾。

What can go wrong when doing right? A pictorial review of iatrogenic genitourinary complications.

机构信息

Department of Radiology, University of Michigan Health System, 1500 E. Medical Center Dr., Ann Arbor, MI, 48109-5030, USA.

出版信息

Abdom Radiol (NY). 2024 Nov;49(11):3987-4002. doi: 10.1007/s00261-024-04384-8. Epub 2024 Jun 4.

Abstract

A growing number of treatments for genitourinary diseases can result in various iatrogenic complications. Multimodality imaging in the post-procedural setting is essential for early and accurate diagnosis to limit morbidity and mortality. We review common and uncommon treatment-induced pathologies affecting the genitourinary system via a case-based approach. We illustrate notable complications affecting the kidneys, ureters, bladder, and urethra induced by percutaneous procedures, external beam radiation, immunotherapy, laparoscopic/robotic pelvic surgery, and intravesicular BCG. Finally, we provide guidance on optimal imaging techniques for diagnosis and highlight the role of image-guided interventions for mitigation of complications.

摘要

越来越多的泌尿生殖系统疾病的治疗方法可导致各种医源性并发症。在术后情况下,多模态影像学检查对于早期、准确的诊断至关重要,有助于降低发病率和死亡率。我们通过病例分析的方法,回顾了影响泌尿生殖系统的常见和不常见的治疗相关病变。我们展示了经皮操作、外照射、免疫治疗、腹腔镜/机器人盆腔手术和膀胱内卡介苗等方法引起的、累及肾脏、输尿管、膀胱和尿道的显著并发症。最后,我们为诊断提供了最佳成像技术的指导,并强调了影像引导介入治疗在减轻并发症方面的作用。

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