使用两根导线进行内镜扩张:在超声波指导下进行皮肤通瘤切除过程中建立通道的新方法
Quanliang Dou1, Zhiqiang Qin1, Jingyu Liu1
1Department of Urology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
The Journal of international medical research
|November 27, 2023
概括
与传统技术相比,一种新的内镜扩张 (END) 方法用于皮肤穿神经切除术显著减少了接入时间和血液损失. 这种新的方法表明,在结石手术中改善患者的治疗结果是有前途的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 脊髓石切割的技术 脊髓石切割的技术
背景情况:
- 透皮石切除术 (PCNL) 是用于石切除的标准手术.
- 瘤切除管道的创建是影响程序效率和安全性的关键步骤.
- 像安普拉茨串行扩张 (AMD) 和一次性扩张 (OSD) 这样的现有扩张方法具有相关的局限性.
研究的目的:
- 评估一种新型内镜扩张 (END) 方法的疗效和安全性.
- 在超声波引导的PCNL中将END与AMD和OSD进行比较.
- 评估手术内和手术后的结果,包括接触时间和血液损失.
主要方法:
- 对138起PCNL案件的回顾性审查 (2020年6月至2021年12月).
- 患者被分为三个组:AMD (n=45),OSD (n=45) 和END (n=48).患者被分为三个组:AMD (n=45),OSD (n=45) 和END (n=48).
- 该方法涉及使用两个导线和一个内镜用于通道扩张.
主要成果:
- 所有组的术前特征在所有组中都是可比的.
- 终端组的访问时间明显缩短,而不是AMD和OSD.
- 与OSD组相比,END组的血红蛋白损失明显较小.
结论:
- 新的双导线内镜扩张 (END) 方法可能会减少PCNL期间的访问时间.
- 这种END技术似乎与减少血液损失有关.
- END提供了一种潜在的更安全,更有效的替代方案,用于创建nephrostomy通道.
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