柔性尿路透镜期间的内压力:对更安全的内泌尿外科的洞察
Anne Hong1,2, Cliodhna Browne1, Greg Jack1
1Department of Urology, Austin Health, Heidelberg, Victoria, Australia.
BJU international
|July 7, 2023
概括
在柔性尿路透镜检查 (fURS) 期间,内压力 (IRP) 可以显著增加. 较高的IRP可能与术后并发症相关,这表明手术内管理是关键.
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.
- 手术技术 手术技术
背景情况:
- 柔性尿道透视 (fURS) 是一种常见的结石去除手术.
- 在fURS期间的内压力 (IRP) 尚未完全理解.
- 影响IRP的因素及其与并发症的关系需要调查.
研究的目的:
- 在柔性尿路透镜检查 (fURS) 期间评估内压力 (IRP).
- 为了评估fURS后的术后并发症率.
- 识别导致高IRP和并发症的因素.
主要方法:
- 在全身麻醉下进行了40个fURS手术.
- 通过压力导线传感器连续监测内压力.
- 外科医生没有看到实时的IRP读数.
主要成果:
- 平均平均IRP为34.8mmHg;平均最大的IRP为128.8mmHg.
- 在平均IRP和患者年龄之间发现了显著的反相关性 (P=0.013).
- 三名患者经历了术后并发症,包括低血压,缺氧和尿液衰竭.
结论:
- 常规fURS显著改变了正常的内压力基线水平.
- 在fURS期间的平均IRP与患者年龄相关,但与其他评估因素无关.
- 增加的IRP可能与增加的fURS并发症率有关,需要进行手术内治疗.
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