逆行性尿道外套子技术,以检索近距离迁移的支架在一个年幼的婴儿
Matthew W Lukies1, Lin Y Ong2, Narasimhan K Lakshmi2
1Department of Diagnostic and Interventional Imaging, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore, 229899, Singapore. mwlukies@gmail.com.
Pediatric radiology
|July 1, 2023
概括
这项研究提出了一种新的放射技术,用于在婴儿中检索迁移的尿路支架. 该方法避免了侵入性手术,为儿科患者的支架切除提供了更安全的替代方案.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 干预性放射学 干预性放射学
- 医疗设备检索 医疗设备检索
背景情况:
- 尿道支架外化是常见的,但近端迁移带来了检索挑战.
- 尿路透镜在婴儿中可能是困难的,由于解剖学限制.
- 现有的检索方法可能需要侵入性方法.
研究的目的:
- 描述一种微创的放射技术,用于近距离迁移的尿管支架在幼婴儿的检索.
- 在具有挑战性的儿科病例中,为尿管支架的切除提供尿管透视或前降级接入的替代方案.
主要方法:
- 一个0.025英寸. 使用了水友性线,4-Fr血管导管和8-Fr血管罩.
- 囊镜子促进了支架的提取.
- 这项技术在没有经前降级接入或尿管肉切割的情况下进行.
主要成果:
- 在一个年幼的婴儿中,成功地取出了近距离迁移的尿路支架.
- 在一个具有挑战性的儿科病例中证明了放射技术的可行性.
- 避免了需要更具侵入性的外科手术或内镜干预的需要.
结论:
- 这种放射技术提供了一种安全有效的方法来检索婴儿近距离迁移的尿路支架.
- 当标准的尿路透镜或前级处理方法难以实现时,它提供了一个有价值的替代方案.
- 最少侵入性支架取回对于儿科患者的治疗结果至关重要.
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