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一项前性比较研究,以评估在迷你穿皮脏切除术中,气动相对激光光的安全性和有效性

Ashish Sharma¹, Anant Giri¹, Gaurav Garg²

¹Department of Urology, Mahatma Gandhi Medical College and Hospital, Mahatma Gandhi University of Medical Sciences & Technology Jaipur, Rajasthan, India.

American journal of clinical and experimental urology

|July 13, 2023

概括

肺动力石术是激光石术的安全有效替代方案,用于小透皮瘤切除术 (mini-perc) 治疗中小小的结石. 这项研究发现,在mini-perc手术中,两种lithotripter类型之间的结果相似.

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.
腎石病的管理方法

背景情况:

迷你透皮瘤切除术 (迷你透皮) 由于工作通道较小,需要仔细选择石片.
激光石术是常见的报道,但关于气动石器在mini-perc使用的数据是有限的.

研究的目的:

为了比较激光光 (LL) 与气动光 (PL) 的有效性和安全性,用于小型至中型的脏/上尿道结石.
为了评估操作时间,碎片化效率,石头清除,以及与每个石型相关的并发症.

主要方法:

一项比较研究包括156名患者,他们接受了1至2厘米的石头迷你检查.
在2020年9月至2022年8月期间,81名患者接受了LL,75名患者接受了PL.
分析了手术前,手术后和手术后的参数,并在两组之间进行了比较.

主要成果:

在LL和PL组之间,操作时间是可比的 (P=0.38).
与LL (28.96±2.82分钟) (P<0.01) 相比,PL (35.42±6.34分钟) 的碎片化时间明显更长.
在PL组 (29.3%) 与LL组 (7.4%) (P=0.02) 中,用子/篮子去除石头的频率更高.
术后结局包括VAS得分,石头清除,血红蛋白下降,住院和并发症在各组之间是相似的 (P>0.05).

结论:

肺动力石术是迷你透视手术中激光石术的有效和安全替代品.
这两种类型的石英化器在小到中型结石的结石清除率和并发症率都相当.
在迷你PC中,LL和PL之间的选择可以基于可用性和外科医生的偏好,考虑到碎片化时间差异.

关键词:

能源来源能源来源能源来源激光石化探器激光石化探器迷你PCNL 迷你PCNL 迷你PCNL 在线迷你-PERC 迷你-PERC 的时间气动式的石化飞行器 (Lithotripter) 是一种

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