如何在灵活的URS中测量内压力:历史背景,技术创新和未来的前景
F Pauchard1, N Bhojani2, B Chew3
1Servicio de Urología, Hospital Naval Almirante Nef, Viña del Mar, Chile.
Actas urologicas espanolas
|October 13, 2023
概括
在尿路透镜检查 (URS) 期间测量内压力 (IRP) 对于预防感染至关重要. 本综述详细介绍了实时IRP评估的内镜方法,理想的系统集成多个功能仍在开发中.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术技术 手术技术
- 医疗器械 医疗器械 医疗器械
背景情况:
- 高内压 (IRP) 是尿道镜检查 (URS) 期间感染并发症的重要危险因素.
- 目前存在管理IRP的方法,但在URS期间实时监控IRP尚未可行.
- 本研究系统地审查了在URS期间测量IRP的内镜技术.
研究的目的:
- 进行对尿道镜检查 (URS) 期间内压力 (IRP) 测量的内镜方法的系统文献审查.
- 在URS程序中识别和评估现有和新的实时IRP评估技术.
主要方法:
- 在Medline,PubMed和Scopus数据库中进行了系统的搜索.
- 该审查遵循了系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用叙事综合方法来分析包含的研究结果.
主要成果:
- 系统性审查中包括了19篇文章.
- 在URS期间确定了四种内镜 (非侵入性) 方法来测量IRP:
- 这些包括尿路导管,传感器线,压力传感器与灌集成,以及具有吸,灌和IRP测量功能的新型尿路接入.
结论:
- 提供了对URS临床IRP测量系统的全面概述.
- 在URS期间进行IRP测量的理想系统尚未开发,但预计将在临床实践中取得进展.
- 未来的理想系统可以整合灌,吸入,IRP和温度监测,以获得增强的外科数据.
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