在冲击波石灰质三中技术创新
L Mosquera Seoane1, J B Ortiz Salvador2, A Budia Alba2
1Servicio de Urología, Complexo Hospitalario Santiago de Compostela, Santiago de Compostela, La Coruña,España.
Actas urologicas espanolas
|October 20, 2023
概括
新兴的体外石质术技术,如爆发波石质术 (BWL),基质术和微泡石质术 (ML),有望改善尿病治疗. 这些进步为具有良好的安全配置文件的更有效的石材碎片化提供了潜力.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗技术 医疗技术 医学技术
- 声学物理 声学物理
背景情况:
- 自1980年以来,体外冲击波石 (SWL) 已成为尿病的非侵入性治疗方法.
- 石头的特征限制了SWL的有效性,并受到各种因素的影响.
- 在SWL的进步对于保持其与其他外科手术技术一起发挥的作用至关重要.
研究的目的:
- 为了回顾体外石化术的最新进展.
- 探索结石的非侵入性治疗新兴技术.
主要方法:
- 从2017年到2023年进行了一项非系统的文献审查.
- 分析了26篇文章,重点关注爆发波石症 (BWL),基因组症和微泡石症 (ML).
主要成果:
- 与传统的SWL相比,BWL利用超声波的侧面突发来进行更细的石块碎片,在动物和人类研究中证明了安全性.
- 基于高强度聚焦超声波 (HIFU) 的基质垂体,通过腔化破碎组织,但微泡形成带来了挑战.
- 微气泡石质 (ML) 结合了微气泡和超声波来进行有效的石块碎片化,显示出有希望的体外和动物研究结果,有可能优化治疗和减少能量.
结论:
- 技术创新正在增强体外冲击波石化疗法 (ESWL).
- 包括BWL,Hystotripsy和ML在内的新技术正在成为lithotripsy的有希望的方法.
- 这些新的技术在治疗尿病的研究阶段显示出积极的结果.
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