对于近端尿道结石,没有预先支架的初级尿道透视 - - 是可行的吗?
Alon Lazarovich1,2, Rennen Haramaty1,2, Asaf Shvero1,2
1Department of Urology, Chaim Sheba Medical Center, Ramat Gan 5266202, Israel.
Life (Basel, Switzerland)
|October 28, 2023
概括
主要尿道透镜与激光光是有效的近端尿道石头,显示类似的结果,以远端石头. 对于这些近位结石,初步的尿路支架插入似乎不必要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的管理方法
背景情况:
- 用激光光三镜进行尿道透视是远端尿道结石的标准.
- 靠近尿管石的治疗有时需要在尿管镜检查之前先插入尿管支架.
- 对于近位石头进行这种初步支架的必要性需要进一步评估.
研究的目的:
- 为了比较近端与远端尿管结石的初级尿管镜术的外科结果.
- 评估初步尿路支架插入在管理近位尿路石的必要性.
主要方法:
- 241名接受尿路透镜检查的患者 (2016-2017年) 病历的回顾性审查.
- 数据包括人口统计,石头大小,功能,并发症和无石头率 (SFR).
- 患者被分为近端和远端尿道结石组.
主要成果:
- 106名患者患有近端尿路结石;他们的年龄明显大于患有远端结石的患者 (p=0.007).
- 在近端和远端结石组之间,无结石率和并发症率相似 (分别为p=1和p=0.657).
- 术后尿路支架插入在近端结石组中更为常见 (92.5%与79.3%,p=0.004).
结论:
- 主要尿道透镜与激光光是一种有效和可行的治疗近位尿道结石.
- 靠近尿管石的手术结果与远距离尿管石的手术结果相似.
- 对于用初级尿路透镜治疗的近端尿路结石,预先插入尿路支架似乎是不必要的.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
8
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
8
Urinary Tract Calculi III: Medical Management
9
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
9
Urologic Endoscopic Procedure: Cystoscopic Examination
28
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
28
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
Urinary Tract Calculi V: Nursing Management
12
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
12
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
13
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
13


