可重复使用的灵活尿道管透镜的更长生存时间的预测因素
Cagri Dogan1, Aslan Demir2, Mehmet Fatih Şahin3
1Faculty of Medicine, Department of Urology, Namik Kemal University, Tekirdag, Turkey. drcagridogan@gmail.com.
World journal of urology
|October 18, 2023
概括
灵活的尿管视镜 (FURS) 耐用性受到石头体积,密度和内角 (IPA) 的影响. 适当的技术和经验可以提高在石头清除过程中设备的存活率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗设备工程 医疗设备工程
背景情况:
- 灵活的尿管透镜 (FURS) 在手术过程中容易受损.
- 提高FURS的耐用性对于成本效益和患者的治疗结果至关重要.
- 通过根据特定指示优化设备的使用,可以提高设备的寿命.
研究的目的:
- 为了研究影响灵活尿管透镜 (FURS) 耐久性的因素.
- 为了确定石头特征 (体积,密度) 和患者解剖学 (深膜角 - IPA) 对FURS寿命的影响.
- 评估S-ReSC得分和其他参数在FURS设备存活中的作用.
主要方法:
- 分析了接受FURS手术的705名患者的数据.
- 包括变量:年龄,性别,石头位置,石头体积,S-ReSC得分,Hounsfield单位 (HU),IPA,BMI和FURS使用时间.
- 应用COX回归用于参数分析和ROC曲线分析以确定切线值.
主要成果:
- 石块体积,霍恩斯菲尔德单位 (HU),内角 (IPA) 和S-ReSC得分显著影响FURS的耐用性.
- 脏形,DJ支架,先前的体外冲击波石 (ESWL) 和尿道接入 (UAS) 使用并没有显著影响耐用性.
- 对IPA的最佳切断值被确定为41.25度.
结论:
- FURS的耐用性受到石头特征和患者解剖学的影响,特别是石头体积,HU,IPA和S-ReSC得分.
- 提高用户经验,包括掌握偏移和激光使用,可能会减少操作时间.
- 设备的寿命与适当的指示和用户专业知识以及制造因素有关.
相关概念视频
Kidney Transplant II: Surgical Procedure
20
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
20
Kidney Transplant I: Introduction
14
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
14
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
37
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
37
Kidney Transplant III: Nursing Management
22
Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
22


