一个和完成:在儿童群体中初级尿道镜的可行性和安全性
Paul Campbell1, Brandon Mudd2, Kiersten Craig1
1Cincinnati Children's Hospital Medical Center, Department of Urology, Cincinnati, OH, 3333 Burnet Avenue, Cincinnati, OH 45229, USA.
Journal of pediatric urology
|November 13, 2023
概括
初级尿路透镜 (URS) 是对儿科尿路结石病的安全有效治疗方法,可以达到高无结石率. 这种手术在没有患者特定预测因素的情况下提供了很好的成功,使其成为单次麻醉石头管理的理想选择.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 内分泌病学 在内分泌病学.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 儿童尿病的发病率正在上升,特别是在青少年和女性中.
- 儿童石头病例中很大一部分需要手术干预.
- 初级尿路透镜 (URS) 提供了一种单一麻醉方法,其重复治疗率可能低于冲击波石.
研究的目的:
- 评估小儿科患者初级尿路透镜术 (URS) 的成功和结果.
- 确定与成功的初级URS相关的患者特征.
- 评估二次结果,包括无石头率,急诊室访问,再入院和并发症.
主要方法:
- 从2011年至2023年进行一次性URS治疗的儿科患者 (<18岁) 的回顾性队列研究.
- 排除标准包括先前的尿路支架放置或诊断性URS.
- 成功被定义为尿管接入和石头处理完成.
主要成果:
- 总共分析了196名患者 (224个脏单位).
- 初级URS的整体成功率为79%.
- 石头大小是残留石头的唯一预测因素 (88%的无石头率);没有患者特征预测成功. 30天ED访问:21.4%,再接收:12.5%,并发症:7.5%. 这是一个很大的数字.
结论:
- 主要URS是小儿尿病的安全有效治疗方法,没有特定的患者特征可以预测成功.
- 高无石头率和单次麻醉治疗的可能性支持主性URS.
- 结果与现有文献相比较有利,尽管研究的局限性如回顾性设计.
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