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光镜在逆行性内外科手术中至关重要

Mehmet Yoldas¹, Tuba Kuvvet Yoldas²

¹Tepecik Training and Research Hospital Clinic of Urology, Izmir, Türkiye.

International journal of clinical practice

|December 11, 2023

概括

光镜不需要逆行性内外科手术 (RIRS) 在患有非形结石的患者. 这种方法保持了类似的无石头和并发症率,减少了辐射暴露.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗成像医学成像

背景情况:

逆行性内手术 (RIRS) 是对结石的常见手术.
在RIRS期间经常使用光镜,这引发了人们对辐射暴露的担忧.

研究的目的:

为了确定在结石RIRS期间是否有必要进行光镜检查.
为了比较RIRS与光镜和没有光镜之间的结果.

主要方法:

一项对612名接受结石RIRS治疗的患者的回顾性研究.
患者被分为两组:第一组 (用光镜检查,n=504) 和第二组 (没有光镜检查,n=108).
石头特征,成功率,并发症率和住院时间的比较.

主要成果:

对于石头的侧面,尺寸,定位或数量,研究小组之间没有发现显著差异.
在这两组中,无石头率和并发症率相似.
住院时间在两组之间也是相似的.

结论:

光镜在RIRS手术中对结石,特别是不透明的结石是不必要的.
消除光镜可以减少患者的辐射暴露,而不会影响手术结果.
手术技术的进步可能会进一步减少RIRS中对光学的依赖.

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