在超声波控制下切除磁性尿道支架的安全性和有效性:一个随机的单中心试验
Jingqiu Li1, Vineet Gauhar2, Ee Jean Lim1
1Department of Urology, Singapore General Hospital, Singapore, Singapore.
World journal of urology
|May 27, 2023
概括
磁性尿道支架为支架移除提供了安全有效的替代方案,大大减少了疼痛和手术时间. 这种方法避免了囊镜,提高了患者的舒适度,节省了资源.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 最少侵入性的手术
背景情况:
- 尿路支架通常在尿路透镜检查后使用.
- 传统的支架切除通常需要灵活的囊镜检查,这可能会引起不适.
- 新的方法旨在改善患者体验和程序效率.
研究的目的:
- 评估磁性尿路支架切除的安全性和有效性.
- 为了比较磁去除与传统的囊镜去除.
主要方法:
- 60名接受尿路透镜检查的男性患者被随机分为两组.
- 组A:传统的双J (DJ) 支架通过囊镜去除.
- 组B:在超声波指导下使用磁回收器插入和取出磁性支架.
主要成果:
- 磁性支架切除 (B组) 与传统切除 (A组) 相比,显著缩短了切除时间和降低了视觉模拟量 (VAS) 疼痛评分.
- 两组之间在尿路症状或性问题上没有发现显著差异.
- 传统的去除显示了边际统计学意义,有利于A组在身体疼痛,一般健康,额外的问题和工作绩效领域.
结论:
- 磁性尿道支架为传统的DJ支架提供了安全有效的替代方案.
- 这种磁性方法消除了囊镜的需要,减少了患者的不适.
- 磁性系统在临床实践中提供了节约资源的潜力.
相关概念视频
Imaging Studies IV: Magnetic Resonance Imaging
37
Introduction:Magnetic Resonance Imaging, or MRI, can include a specialized imaging technique of the urinary system known as Magnetic Resonance Urography (MRU). This radiation-free technique uses strong magnetic fields and radio waves to produce detailed images with the help of a computer. MRU is particularly effective for visualizing fluid-filled structures like the kidneys, ureters, and bladder.Applications of MRI in the Genitourinary SystemKidneys and Ureters: MRI detects tumors, cysts,...
37
Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
Imaging Studies II: Ultrasonography
32
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
32
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
81
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
81
Imaging Studies I: Kidney, Ureter, and Bladder Studies
27
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
27


