石块密度对皮肤性利切除术结果与双频超声波光学试管器的影响:基于计算机断层扫描的结果在低体积中心
Hailiu Yang1, Philip T Zhao2, Daniel Su3
1Division of Urology, Cooper University Hospital, Camden, New Jersey.
Urology practice
|August 18, 2023
概括
赛博万德TM石灰管在穿皮瘤切除过程中有效破碎结石 (结石). 岩石密度不会影响石的性能或并发症率.
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
- 腎石病的治療方法
背景情况:
- 透皮石切除术 (PCNL) 是一种常见的石切除手术.
- 赛博万德 (CyberWandTM lithotripter) 是一种在PCNL中使用的超声波装置.
- 了解石头特征 (如密度) 对治疗疗效的影响至关重要.
研究的目的:
- 为了评估PCNL中的CyberWandTM石灰管的安全性和有效性.
- 为了确定结石密度是否会影响治疗结果.
- 为了比较CyberWandTM的结果与其他石治疗方法.
主要方法:
- 通过使用CyberWandTM lithotripter (2009年11月 - 2015年7月) 进行63个PCNL程序的回顾性分析.
- 结果的评估:残留碎片率,并发症率,手术时间,血液损失和住院.
- 根据Hounsfield单位 (HU) 将石头分类为软 (<1,000 HU) 或硬 (>1,000 HU).
主要成果:
- 赛博万德 (CyberWandTM) 的并发症和残留碎片率与其他石术方法相比相当.
- 在54%的病例中,获得了临床上无意义的残留碎片 (<4毫米).
- 在软石和硬石之间没有观察到显著的结果差异.
结论:
- 对于PCNL来说,CyberWandTM石灰管是一种安全有效的选择.
- 治疗的有效性不受结石的密度的影响.
- 赛博万德 (CyberWandTM) 是一种非劣质的皮肤穿透性石灰管的替代品.
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