局部阿米诺菲林给药对接受尿路透镜光三心术的患者的影响
Anantbir Singh Lubana1, Shivam Priyadarshi1, Govind Sharma1
1Department of Urology, SMS Superspeciality Hospital, Jaipur, Rajasthan, India.
Urologia
|December 2, 2023
概括
局部阿米诺菲林的使用显著提高了尿管石的尿管透视成功率. 这种方法减少了手术的持续时间,提高了尿路通道,降低了支架和重复手术的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 尿道结石可能导致严重的并发症,包括疼痛,尿路感染和功能丧失.
- 尿路透镜和激光石块碎片化 (URSL) 是尿管和结石的主要治疗方法,最大2厘米.
研究的目的:
- 评估局部阿米诺菲林的有效性,以提高尿路结石的尿路透镜性石灰的成功率.
- 为了比较接受局部氨基氨酸和接受盐水输液的患者之间的关键程序结果.
主要方法:
- 一项随机对100名患有尿道结石 (<20毫米) 的20至60岁患者进行的随机研究.
- 组A (n=50) 接受了局部氨基;组B (n=50) 接受了尿道镜检查前5分钟的盐水输液.
- 测量结果包括手术持续时间,尿道接入以及需要DJ支架或进一步干预的需求.
主要成果:
- 氨基类组显示尿管接入明显容易 (p<0.05) 和平均手术持续时间更短.
- 在氨基林组中观察到更高的成功率和更少的尿路支架和辅助程序的需求.
- 对照组需要更多的尿路支架和二次手术 (38%).
结论:
- 局部氨基林的使用在尿路结石的URSL手术中非常有效.
- 阿米诺菲林的使用减轻了疼痛,减少了对二次干预的需求,并增加了整体成功率.
- 该研究建议使用氨基来成功管理尿路结石在URSL期间.
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