一个新的位置利用重力的作用在近端尿管石头,尿管透镜石在反向的Trendelenburg位置:一个前性,随机的,比较研究
Ali Kaan Yildiz1, Omer Gokhan Doluoglu2, Turgay Kacan3
1Department of Urology, Ankara City Hospital, Ankara, Turkey. alikaanyildiz@gmail.com.
World journal of urology
|October 19, 2023
概括
反向的Trendelenburg位置提高了无结石率,并减少了近距离尿路结石在尿路透镜石术期间的并发症. 这种手术方法提供了一种安全有效的替代石头去除方法.
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.
- 医疗器械技术 医疗器械技术
背景情况:
- 尿道透视性石灰是对结石的常见手术.
- 靠近性尿路结石带来了独特的外科手术挑战.
- 优化患者定位可以提高外科手术的结果.
研究的目的:
- 为了评估反向Trendelenburg位置在尿路透镜lithotripsy对近位尿路结石的疗效.
- 为了比较标准石头切除和反向Trendelenburg位置之间的结果.
主要方法:
- 167名患有近端尿路结石的患者被随机分为三组:标准石头切除术,10度逆向Trendelenburg和20度逆向Trendelenburg.
- 记录了手术前的数据和石头的特征.
- 包括无石头率,手术时间和并发症在内的结果在术后使用CT扫描进行评估.
主要成果:
- 与标准石解剖组相比,反向的Trendelenburg组显示出明显改善的无石率 (p < 0.001) 和减少的石迁移.
- 操作时间,住院时间和并发症率在反向Trendelenburg组明显较低 (p < 0.001).
- 在手术前患者和石头特征中没有发现显著差异.
结论:
- 反向的Trendelenburg姿势是一种安全有效的手术方法,用于治疗近端尿路结石.
- 这种新型的患者定位可以提高无石头率,并最大限度地降低尿路透镜性石症的并发症.
- 进一步的研究可能会探索最优的角度和应用在复杂的石头案例.
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