灵活的尿路透镜石术具有吸收的尿路接入,用于在局部麻醉下去除上部尿路结石
Zhaolin Zhang1, Song Leng2, Tianpeng Xie1
1Department of Urology, First Affiliated Hospital of Gannan Medical University, Ganzhou, China.
Frontiers in surgery
|October 12, 2023
概括
在局部麻醉 (LA) 下,具有吸收尿管接入 (S-UAS) 的灵活尿管透视性石灰 (FURL) 对上尿路结石是安全有效的. 这种最少的侵入性方法为选定的患者提供了良好的无石头率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的治療方法
背景情况:
- 上部尿路结石构成了重大的临床挑战.
- 传统的石疗法可能会给患者带来很大的不适和更长的恢复时间.
- 局部麻醉 (LA) 为某些泌尿外科手术提供了一个潜在的更安全的替代方案.
研究的目的:
- 为了评估灵活的尿道透视性石 (FURL) 的安全性和有效性,使用吸收尿道接入 (S-UAS).
- 评估在局部麻醉 (LA) 下进行FURL的可行性,以移除上尿路石块.
- 分析临床结果,包括无结石率和并发症.
主要方法:
- 在2019年9月至2022年11月期间接受治疗的56名上尿路结石患者的回顾性分析.
- 在LA下使用FURL与S-UAS进行的程序,包括肌内佩提丁和费纳根,然后是氧布洛卡因化凝.
- 患者被分为单边 (A组) 和同一会期双边 (B组) 的手术组.
主要成果:
- 在46名患者 (A组) 和10名患者 (B组) 的成功手术中,没有额外的止痛药.
- 平均石材大小为20.24毫米 (A组) 和29.40毫米 (B组).
- 在手术后的第30天,无结石率为85.1% (A组) 和85.0% (B组). 并发症是罕见的,发烧和支架疼痛是最常见的.
结论:
- 在局部麻醉 (LA) 下使用吸收尿管接入 (S-UAS) 的灵活尿管透视性石 (FURL) 是一种可行且安全的治疗选择.
- 这种方法在适当选择的上尿路结石患者中产生了令人满意的无结石率.
- 根据LA进行的最小侵入性治疗代表了去除石头的可行替代方案.
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