[研究逆行性尿道透视性石灰管与尿道接入用于尿路计数后阴道管建设]
Tetsuo Fukuda1, Hironao Tajirika1, Tatsuro Ishikawa1
1The Department of Urology, Ohguchi Higashi General Hospital.
Hinyokika kiyo. Acta urologica Japonica
|October 5, 2023
概括
逆行尿路透镜是有效的治疗结石在患有状管患者. 这种手术显示出高无石头率与最小的并发症,提供了安全的治疗选择.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
背景情况:
- 阴道管道建设是一种常见的尿路转移技术.
- 患有乳腺管道患者的尿石症存在独特的管理挑战.
研究的目的:
- 评估逆行尿路透镜在患有阴道管患者的尿路结石病治疗中的安全性和有效性.
- 评估这种微创方法的无石头率和并发症概况.
主要方法:
- 对5名患者 (8项手术) 的回顾性分析,这些患者接受了逆行性尿道透视性石,并使用尿道接入.
- 术后评估使用计算机断层扫描 (CT) 和脏,尿道和膀 (KUB) X射线在1个月.
- 没有石头的定义:残留碎片在KUB上≤4mm,在CT上≤2mm.
主要成果:
- 在所有程序中都取得了成功的石块碎片.
- 在KUB上无石头率为100%,在CT上为87.5%.
- 一例术后发烧 (>38.5°C) 发生;没有严重并发症 (修改的Clavien-Dindo III级或更高) 报告.
- 在CT上没有观察到水缩的恶化.
结论:
- 用尿管接入进行逆行尿路透镜,是一种安全有效的治疗方法,用于治疗患有阴道管的患者的尿路结石病.
- 该程序在这个具有挑战性的患者群体中提供了高无石头率和有利的安全概况.
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