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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
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在远端尿道结石中对体外冲击波石和尿道透视进行前性比较
Zheng Gong1, Yipeng Li2, Huijing Zhang3
1Department of Urology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Shenyang, 110004, Liaoning, People's Republic of China.
Urolithiasis
|June 5, 2023
概括
早期的第二冲击波石 (SWL) 疗程提供了可比的石头免费率和较低的成本比尿路石 (URS) 远端尿路石头. 此外,SWL还显示并发症率降低,住院时间缩短.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的管理方法
背景情况:
- 对于远端尿路结石的最佳治疗方法仍在争论中.
- 冲击波石 (SWL) 和尿道镜 (URS) 是常见的方法.
- 对比疗效,安全性和成本数据对于临床决策至关重要.
研究的目的:
- 为了前性地评估远端尿道结石的早期第二次SWL会话与URS.
- 为了比较无石头率 (SFR),二次治疗率,并发症和成本.
- 评估每种治疗方式的安全性和成本效益.
主要方法:
- 在第三级医院进行前性研究 (2020年6月 - 2022年4月).
- 包括1023名用SWL或URS治疗远端尿路结石的患者.
- 倾向性得分匹配 (PSM) 分析以比较结果.
主要成果:
- 与PSM后的URS相比,SWL显示了相当的SFR (87.4%对84.9%) 和二次治疗率 (10.7%对10.8%).
- 并发症的发生率相似 (6.0%对5.9%),但尿路损伤在URS (1.3%对0%) 时更高.
- SWL导致医院住院时间显著缩短 (1 vs. 2天) 和成本降低 (2000 vs. 25,030元人民币).
结论:
- 早期的第二次SWL会议与远端尿道结石的URS一样有效.
- SWL提供了更安全的配置文件,尿路损伤较少,成本更低.
- 结果支持SWL作为管理远端尿路结石的首选选项.
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