微创泌尿外科杂志2024,Vol.13Issue(5) :289-298.DOI:10.19558/j.cnki.10-1020/r.2024.05.001

合并心血管疾病的前列腺穿刺活检患者抗血栓药物管理中国专家共识

Chinese Expert Consensus on Antithrombotic Drug Management for Patients with Cardiovascular Diseases Undergoing Prostate Biopsy

国家心血管疾病临床医学研究中心—泌尿外科心血管共病联盟专家共识编写组 张宁
微创泌尿外科杂志2024,Vol.13Issue(5) :289-298.DOI:10.19558/j.cnki.10-1020/r.2024.05.001

合并心血管疾病的前列腺穿刺活检患者抗血栓药物管理中国专家共识

Chinese Expert Consensus on Antithrombotic Drug Management for Patients with Cardiovascular Diseases Undergoing Prostate Biopsy

国家心血管疾病临床医学研究中心—泌尿外科心血管共病联盟专家共识编写组 张宁
扫码查看

摘要

前列腺穿刺活检术是鉴别前列腺肿瘤良恶性的关键方法.随着人口老龄化及心血管疾病发生率的逐渐升高,拟行前列腺穿刺的患者常因合并心血管疾病而接受抗血栓治疗.围术期如果继续服用抗血栓药物会增加出血风险,停用则可能导致血栓形成从而诱发心血管疾病,对于此类患者如何进行抗血栓药物的规范化管理是亟待解决的问题.本共识结合目前国内外最新的文献和指南证据,组织相关专家进行多学科讨论,旨在明确前列腺穿刺活检的时机选择、平衡围术期出血风险和血栓形成风险、制定抗血栓药物规范化管理策略及术后出血的临床管理方案,以期为临床诊疗提供依据和指导.

Abstract

Prostate biopsy is a critical method for distinguishing between benign and malignant prostate tumors.As the population ages and the incidence of cardiovascular diseases gradually increases,patients scheduled for pros-tate biopsy often receive antithrombotic treatment due to concurrent cardiovascular conditions.During the periopera-tive period,the continuation of antithrombotic medications raises the risk of bleeding,whereas their discontinuation may lead to thrombosis and potentially exacerbate cardiovascular diseases.The establishment of standardized manage-ment protocols for antithrombotic drugs in these patients is an urgent issue that requires resolution.The consensus is reached through multidisciplinary discussions among relevant experts,combined with the latest domestic and interna-tional literature and guideline evidence.The objective is to clarify the timing of prostate biopsy,balance the risks of perioperative bleeding and thrombosis,formulate standardized management strategies for antithrombotic medica-tions,and develop clinical management plans for postoperative bleeding,thereby providing a foundation and guidance for clinical diagnosis and treatment.

关键词

前列腺穿刺活检术/心血管疾病/抗血栓药物/共识

Key words

Prostate Biopsy/Cardiovascular Disease/Antithrombotic drug/Consensus

引用本文复制引用

出版年

2024
微创泌尿外科杂志
解放军总医院

微创泌尿外科杂志

CSTPCD
影响因子:0.777
ISSN:2095-5146
段落导航相关论文