优化手术前的成像-手术间隔,用于石头
Ijeoma Chibuzo1, Aleksandar Vucicevic1, Abisola Oliyide1
1Department of Urology Stepping Hill Hospital Stockport UK.
BJUI compass
|August 28, 2023
概括
在结石手术前更新参考成像是至关重要的. 对于尿道结石,在9周内更新成像;对于结石,在19周内更新以避免负面的外科结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
- 外科手术的结果
背景情况:
- 尼斯指南建议对急性尿道结肠发作及时进行干预.
- 国家卫生服务系统面临的挑战包括长时间的等待和有限的资源,影响及时的石头治疗.
- 过时的参考图像 (RI) 对上道石头手术构成风险,原因是可能发生的石头负荷变化.
研究的目的:
- 评估成像-手术间隔 (ISI) 对上道石头手术结果的影响.
- 为了确定需要更新参考成像的切线ISI.
- 通过优化成像协议来提高手术效率和患者安全.
主要方法:
- 追溯分析了427次上路石头手术.
- 石头的分类为/骨盆 (RENAL) 和尿路.
- 使用接收器运行曲线 (ROC) 来识别ISI截止线,预测内部运营差异 (IOD).
主要成果:
- 在12.1%的患者中没有在手术期间发现结石.
- 较长的ISI与IOD有显著的关联,特别是在尿路结石 (p=0.011).
- 更新成像的推ISI截止期:尿道结石9周,结石19周.
结论:
- 如果尿路结石超过9周,则应更新尿路结石的参考成像.
- 对于19周以上的结石,应更新结石的参考成像.
- 坚持这些更新的成像间隔可以提高外科准确性和患者安全.
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