用图纤维激光器对抗霍尔激光器进行尿道透镜性石:单中心前性随机研究
Vaddi Chandramohan1, P M Siddalinga Swamy1, Paidakula Ramakrishna1
1Department of Urology, Preeti Urology and Kidney Hospital, Hyderabad, Telangana, India.
Urology annals
|September 4, 2023
概括
与标准的holmium:YAG激光相比,图纤维激光器 (TFL) 提供了一种更快,更有效的方法来治疗尿路透镜性石. 在这项研究中,这两种激光都表现出类似的并发症和无结石率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 激光手术 激光手术是一种激光手术.
- 腎石病的治療方法
背景情况:
- 激光光是尿道结石的标准.
- 图纤维激光器 (TFL) 是一种用于石材碎片化的新技术.
- 荷:YAG (HO:YAG) 激光器是当前的黄金标准.
研究的目的:
- 为了比较TFL与HO:YAG激光在尿路透镜性石症中的疗效.
- 为了评估石材碎片化,无石材率和并发症.
- 为了评估手术时间,激光时间和切除速度.
主要方法:
- 对180名患有远端和中尿路结石 (4-15毫米) 的患者 (每组90人) 进行前性随机研究.
- 使用TFL或HO:YAG激光进行的尿路透镜激光石术.
- 收集的数据包括操作时间,激光时间,反推力率,切除速度和可见度得分.
主要成果:
- 与HO:YAG组 (分别为31.6分钟和14.8分钟) 相比,TFL组的平均操作时间 (18.5分钟) 和激光时间 (7.4分钟) 显著缩短.
- 激光疗效和除速度在TFL中显著提高.
- 视觉评分在HO:YAG组更好,而并发症和无石头率在两组之间是相似的.
结论:
- 比HO:YAG激光更有效和更快的TFL对于尿道镜性石.
- 在TFL和HO:YAG激光器之间,并发症和无结石率是可比的.
- 对于治疗尿道结石来说,TFL是一个有前途的替代方案.
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
10
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
10
01:30Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9