常用的尿道接入罩的比较:一个潜在的随机试验
Mohamed Elsaqa1, Zain Hyder2, Kim Thai3
1Alexandria University Faculty of Medicine, Alexandria, Egypt; Baylor Scott & White Medical Center, Temple, TX. mohamed.elsaqa@alexmed.edu.eg.
概括
两个尿路接入 (UAS) 在结石灵活尿路透镜中显示出相似的安全性和有效性. 支架前的尿道降低了插入阻力,但没有影响尿道损伤率.
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.
- 最少侵入性的手术
背景情况:
- 柔性尿路透镜是治疗结石的关键手术.
- 尿道接入 (UAS) 便于石头的去除,并改善视力在尿道透视期间.
- 对比不同类型的UAS对于优化患者的治疗结果至关重要.
研究的目的:
- 为了比较两个常见的尿路接入罩 (UAS) 的功能特性,安全性和有效性.
- 评估在灵活尿路透镜检查期间与UAS使用相关的手术内并发症.
主要方法:
- 一项前性随机研究,涉及88名接受近端尿路或结石灵活尿路透镜检查的患者.
- 患者被随机分配到两个UAS组之一 (I组或II组),使用12/14FR套.
- 主要结局是手术后并发症的发生率;次要结局包括插入阻力和尿路损伤.
主要成果:
- 群体之间没有石头大小或前造率的显著差异.
- 无人机安装系统的插入阻力在各组之间是相似的,在I组有一个插入失败.
- 尿道损伤率 (Traxer等级1和3) 是相似的;在支架前,插入阻力降低了,但损伤发生率没有降低.
结论:
- 在这项研究中,这两种尿管接入 (UAS) 的安全性和有效性相似.
- 支架前的尿道促进了UAS的插入,但没有显著改变尿道损伤的发生率.
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