打击,尿液和逆转疗法对RIRS成功的作用,用于较低脏杆石的成功
Caglar Sarioglu1, Samet Senel1, Emre Uzun1
1Department of Urology, Ankara City Hospital, Ankara, Turkey.
Central European journal of urology
|January 17, 2024
概括
打击,尿液和逆转 (PDI) 疗法显著改善了逆性内手术 (RIRS) 在下杆石的成功率. 与单独的RIRS相比,这种综合方法可以提高无石头率.
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.
- 手术创新 在外科创新.
背景情况:
- 下杆 (LRP) 石头对体外冲击波石 (ESWL) 构成挑战.
- 逆行性内手术 (RIRS) 是对LRP结石的一种成熟治疗方法.
- 冲击,尿液和逆转疗法 (PDI) 是一种技术,旨在帮助驱逐石头.
研究的目的:
- 评估打击,尿液和逆转疗法 (PDI) 在改善LRP石头RIRS成功率方面的疗效.
- 分析PDI治疗对LRP石头RIRS后无石头率的影响.
主要方法:
- 一项前性研究包括114名接受LRP石头 (<2厘米) 的RIRS患者.
- 患者被分为两组:仅RIRS (非PDI) 和RIRS,其次是PDI治疗 (PDI组).
- 收集了人口统计,临床,放射学和解剖学数据,并记录了成功状态.
主要成果:
- 与非PDI组 (25.9%) 相比,PDI组的成功率 (58.3%) 显著更高 (p <0.001).
- 多变量分析确定了石块大小,内单位 (IU) 和没有PDI治疗作为RIRS失败的独立风险因素.
- 不进行PDI治疗与治疗失败有很强的关联 (OR = 9.455,p = 0.001).
结论:
- 打击,尿液和逆转 (PDI) 疗法是RIRS治疗下杆结石的有效补充.
- PDI治疗显著增加了RIRS的成功率,导致更好的石头清除.
- 将PDI疗法整合到RIRS协议中可以改善LRP石头患者的治疗结果.
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