石头负载对双边上尿路结石同期灵活尿路透镜结果的影响:多中心回顾性研究
Wei-Chao Tu1, Xin-Le Zhang2, Jun Wang3
1Department of Urology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in medicine
|November 30, 2023
概括
同一次的灵活尿路透镜 (fURS) 对双边上道结石有效. 较低的石头负荷 (TDS ≤30毫米) 产生更高的初始无石头率与fURS.
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:
- 双边上尿路结石对治疗具有挑战性.
- 灵活尿道透视 (fURS) 是一种最少侵入性的方法.
- 评估石头负担对fURS结果的影响至关重要.
研究的目的:
- 评估同期fURS治疗双边上尿路结石的疗效和安全性.
- 为了确定石头负载的影响,以石头总直径 (TDS) ≤30毫米对比>30毫米,对同一会期的fURS结果进行分层.
主要方法:
- 对121名接受双边上尿路结石fURS同期治疗的患者的回顾性评估 (2017年1月至2020年9月).
- 患者分为两组:TDS≤30毫米 (n=73) 和TDS>30毫米 (n=48).
- 对人口统计,石头特征,手术结果,并发症和无石头率 (SFR) 的分析.
主要成果:
- 在重新治疗后,总体SFR达到97.5%.
- 与TDS>30mm组 (25.0%,p <0.001) 相比,TDS ≤30mm组的初始SFR (73.9%) 显著更高.
- 在石头负担较高的组中,操作时间较长 (115.4比85.1分钟,p < 0.001),重复fURS率更高 (75%比26%,p < 0.001),LOS和并发症率相似.
结论:
- 同期fURS是一种安全有效的治疗双边上尿路结石的方法.
- 较低的石头负荷 (TDS ≤30毫米) 与较高的初始无石头率有关.
- 在管理双边上尿路结石时,应优先考虑同期fURS.
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