技术前景:使用或重复使用,这是内镜问题 - - 一次性内镜的系统审查
Steven Anderson1,2, Kenneth Patterson1, Andreas Skolarikos3
1Department of Urology, Beaumont Hospital, Dublin, Ireland.
BJU international
|October 14, 2023
概括
单次使用内镜的临床结果与泌尿病学中可重复使用的内镜相似,感染或并发症率没有显著差异. 泌尿科医生可以根据成本和环境因素进行选择,而不会影响患者的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 临床结果 临床结果
背景情况:
- 可重复使用的内镜在泌尿病学中是标准的,但人们对再处理的有效性和成本存在担忧.
- 单次使用内镜提供了一个潜在的替代品,但它们的临床有效性需要比较.
研究的目的:
- 为了比较一次性内镜与可重复使用的内镜在泌尿外科手术中的临床结果.
- 定义一次性内镜在当代泌尿病学中的作用.
主要方法:
- 进行了系统的文献搜索,以确定比较研究.
- 研究包括参与者通过一次性或可重复使用的内镜接受泌尿器科手术.
- 根据PRISMA 2020声明,报告了结果.
主要成果:
- 分析了21项涉及3943名参与者的研究.
- 在术后感染率 (4.0%对4.4%) 或整体并发症率 (11.5%对11.9%) 中没有发现显著差异.
- 灵活尿路透镜显示,单次使用和可重复使用的内镜在操作时间,住院时间或无结石率上没有差异.
结论:
- 单次使用和可重复使用的内镜在泌尿病学中产生类似的临床结果.
- 单次使用的柔性囊泡镜与较短的操作时间有关.
- 单次使用和可重复使用内镜之间的选择可以基于机构的成本效益和环境影响,而不会影响患者的结果.
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