在局部麻醉下进行的硫纤维激光囊性:日托护理程序
Rahul Gupta1, Yaser Rahman1, Arti Mahajan2
1Department of Urology, Government Medical College Jammu, Jammu, Jammu and Kashmir, India.
Urologia
|July 8, 2023
概括
硫纤维激光器 (TFL) 石术是一种安全有效的白天护理程序,用于膀结石. 这种微创手术的成功率很高,并发症最小,是治疗膀结石的可行选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 激光技术 激光技术 激光技术
背景情况:
- 膀结石 (膀结石) 占所有膀结石病例的5%.
- 患者经常出现下尿路症状 (LUTS) 或急性尿,需要及时干预.
- 过尿道激光石术是目前用于膀石移除的标准护理方法.
研究的目的:
- 评估使用硫纤维激光 (TFL) 治疗膀结石的结果.
- 为了评估在局部麻醉下作为同一天的门诊手术进行的TFL光.
主要方法:
- 一项回顾性,单中心研究包括30名患者,他们在2021年6月至2022年6月期间接受了TFL石治疗膀结石.
- 该过程使用了带有TFL能量 (15-30W) 的18 Fr激光来碎碎石.
- 收集的数据包括手术时间,并发症和手术后排泄状态.
主要成果:
- 平均石块大小为15 ± 2.8毫米,平均操作时间为15 ± 5.4分钟.
- 使用的平均激光能量为18.23 ± 10W.
- 在所有患者中都实现了100%的无石头率,耐受性很高,不需要转换为全身麻醉. 一名患者经历了暂时的排泄困难.
结论:
- 图纤维激光 (TFL) 通过尿道发射的囊泡石是一种可行且有效的治疗膀结石的方法.
- 这种手术在局部麻醉下进行时,显示出最小的发病率和优秀的结果,作为日间护理手术.
- TFL石术为膀结石管理提供了一种安全有效的最小侵入性选择.
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