两个最薄的一次性柔性尿道镜之间的初始比较经验:Indoscope Sleek (BioradmedisysTM) 与Uscope PU3033A (PusenTM):一个单中心前性研究
Shashank Agrawal1, Pavan Survase2, Abhishek G Singh2
1Department of Urology, Muljibhai Patel Urological Hospital, Dr Virendra Desai Road, Nadiad, Gujarat, 387991, India. shank789agrawal@gmail.com.
World journal of urology
|August 6, 2023
概括
与7.5FrUscope相比,7.5FrIndoscope在灵活尿道镜检查 (fURS) 过程中提供了更好的可视性. 这两种一次性使用的数字柔性尿管望远镜在结石治疗中表现出可比的手术结果和机动性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 最少侵入性的手术
背景情况:
- 单次使用的数字柔性尿管望远镜 (fURS) 正在成为可重复使用模型的经济有效替代品.
- 对于一些一次性使用的fURS来说,使用大直径的接入的挑战可能会阻碍第一次尝试的通道,并导致分阶段的石头清除.
- 新的,更轻薄的一次性使用fURS旨在提高可访问性,可能没有或使用更小的接入.
研究的目的:
- 为了比较两种新的一次性数字柔性尿道镜的体内性能和外科结果:7.5Fr Indoscope (BioradmedisysTM) 和7.5Fr Uscope PU3033A (PusenTM).
主要方法:
- 一项前性随机试验,涉及60名患有结石 (<2厘米) 的患者,正在接受逆行性内手术 (RIRS).
- 患者被分配到印镜 (A组,n=30) 或用镜 (B组,n=30) 组.
- 评估了手术前,手术期间和手术后的参数,包括外科医生评估的可见性和机动性 (利克尔特5分级),以及通过超声波和X射线KUB的1个月石头清除.
主要成果:
- 患者人口统计和石头特征在两组之间是相似的.
- 与Uscope相比,Indoscope在体内可见度明显更好 (p<0.05).
- 机动性得分相似 (p>0.05),完全石头清除率相似 (28/30对于Indoscope而不是26/30对于Uscope,p=0.38). 在一个Uscope案例中发生了范围故障.
结论:
- 与7.5Fr Uscope相比,7.5Fr Indoscope提供了更好的可视化.
- 这两种一次性使用的柔性尿管镜在体内表现,手术结果和并发症率上都具有可比性.
- 这些发现支持使用更薄的一次性fURS,以提高RIRS程序的可访问性.
相关概念视频
Urologic Endoscopic Procedure: Cystoscopic Examination
60
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
60
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
57
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
57
Endoscopic Procedures III: Video Capsule Endoscopy
188
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
188
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
234
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
234
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
119
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
119
Imaging Studies I: Kidney, Ureter, and Bladder Studies
25
Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
25


