大型结石的可指导性尿路透镜疏散 (SURE):一个多机构中心研究
Karen L Stern1, Benjamin Joseph Borgert2, J Stuart Wolf3,4
1Mayo Clinic Arizona, 23387, Urology, 5777 E. Mayo Blvd., Scottsdale, Arizona, United States, 85259-5499; Stern.Karen@mayo.edu.
Journal of endourology
|August 28, 2023
概括
可导向的尿路透镜疏散系统 (SURE) 有效地清除大结石. 这种吸入系统对高风险患者是安全的,可能会减少进一步手术的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 最少侵入性的手术
背景情况:
- 一项试点研究表明,可导向的尿管透镜疏散 (SURE) 对于石头的去除是有效的.
- 本研究评估了CVAC®吸气系统对大型石头负荷的安全性和有效性.
研究的目的:
- 使用CVAC®吸气系统评估SURE的安全性和有效性.
- 在患有大石头负担 (≥10毫米) 的患者中评估SURE.
- 分析高风险患者子组的结果.
主要方法:
- 对43名接受SURE的大型石头负担的患者进行了回顾性研究.
- 评估人口统计,二次手术,并发症和石头清除 (百分比基线体积减少).
- 对接受抗凝血/抗血小板治疗或患有神经疾病的高风险患者的分分析.
主要成果:
- 平均石材负荷为29±12毫米;平均体积为3,092±5,002毫米3.
- 石头清理率高:91.7%的石头清理率高于90%,100%的石头清理率高于60%.
- 只有9.5%的患者需要进行二次手术;没有设备相关的并发症或入院.
结论:
- CVAC®吸气系统证明了对大型结石负担的安全性和有效性.
- 通过SURE可以减少穿皮瘤切除术 (PCNL) 或分阶段手术的需要.
- 该系统即使在高风险患者群体中也有效.
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