在石头去除程序后进行代谢评估,是否真的需要无石头状态?
R Guzel1, C Canakci2, B Eryildirim2
1Servicio de Urología, Hospital Medistate, Kavacık, Estambul, Turkey.
Actas urologicas espanolas
|June 24, 2023
概括
在尿路透镜手术后实现完整的石头去除可能对代谢评估没有必要. 没有石头的状态不会影响复发性石头形成者的24小时尿液和血清风险因素分析.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 代谢医学是一种代谢医学.
背景情况:
- 经常出现的结石形成需要全面的代谢评估.
- 尿道透镜石头去除是一种常见的治疗方法,但残留碎片对代谢评估的影响尚不清楚.
研究的目的:
- 评估在尿路透镜去除石头后实现无石头状态是否会影响反复形成石头的患者代谢评估的结果.
主要方法:
- 78名因结石而经历逆行性内手术 (RIRS) 的患者根据手术后的无石头状态被分组 (组1:无石头,n=54;组2:残留碎片,n=24).
- 在所有患者的手术后4周进行了24小时尿液和血清代谢评估.
- 在各组之间比较了手术前和手术后的代谢参数.
主要成果:
- 两组之间在手术前血清和尿液中形成结石的危险因素中没有发现显著差异.
- 手术后代谢评估显示,有残留碎片和没有残留碎片的患者之间没有统计学上显著的差异.
- 血清变量也显示在任何一组的术前和术后测量之间没有显著差异.
结论:
- 无结石状态可能不是在内泌尿道结石去除后进行详细的代谢评估的关键决定因素.
- 综合代谢评估,包括24小时尿液和血清分析,可以考虑不考虑尿道镜后的残留碎片.
- 这一发现可能有助于优化患者管理,减少不必要的后续程序.
关键词:
逆向性内外科手术 (CRIR) 是指内外科手术.代谢研究研究.脏质病 脏质病代谢评估的代谢评估脏结石 (renal calculi) 是指脏中的结石.逆行性内外科手术 (RIRS) 是一种手术.尿路透镜检查 尿路透镜检查尿路透镜检查是指尿路透镜检查.更多相关视频
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