在压力下:在柔性尿路透镜期间灌实践模式
Bassel Salka1, Jamsheed Bahaee2, Jeff Plott3
1University of Michigan Medical School, 1301 Catherine St, Ann Arbor, MI 48109, USA.
Therapeutic advances in urology
|June 26, 2023
概括
灵活尿道透视 (fURS) 灌方法在全球范围内有所不同,北美偏爱压力袋,欧洲偏爱重力系统. 灌的挑战最常发生在尿路瘤活检期间.
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.
- 手术技巧 手术技巧
背景情况:
- 灵活尿路透镜 (fURS) 期间的灌参数可以影响患者的结果.
- 目前用于灌方法和fURS参数选择的实践模式在全球范围内没有得到充分的记录.
研究的目的:
- 评估国际内分泌学家在fURS期间的常见灌方法,压力设置和有问题的场景.
主要方法:
- 2021年1月,对内分泌学会成员进行了一项全球调查.
- 数据通过在线问卷收集,并根据CHERRIES指南分析答案.
- 来自北美,拉丁美洲,欧洲,亚洲,非洲和大洋洲的外科医生参加了会议.
主要成果:
- 共有208名外科医生做出反应 (14%的响应率).
- 北美外科医生主要使用压缩盐水袋 (55%),而欧洲外科医生更喜欢带有灯泡/注射器系统的重力盐水袋 (45%).
- 自动化系统在亚洲 (30%) 最常见;大多数外科医生使用75-150mmHg,尿瘤活检提出了最多的灌挑战.
结论:
- 在全球范围内,fURS期间的灌实践和参数选择存在显著差异.
- 观察到偏好的灌方法 (压力灌与重力灌) 的区域差异.
- 自动灌系统尚未得到广泛采用,在瘤活检过程中经常遇到灌困难.
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