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在RIRS成功上对高功率和低功率激光器的多中心评估,使用倾向性评分分析

Eren Erol¹, Gokhan Ecer², Murat Can Kiremit³

¹Department of Urology, Meram School of Medicine, Necmettin Erbakan University, Konya, Turkey.

|February 10, 2024

概括

高功率激光 (HPL) 和低功率激光 (LPL) 在结石RIRS中显示出类似的无结石率和并发症率. 与LPL相比,HPL的使用导致了较短的操作时间,住院时间和光镜时间.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗技术医疗技术医学技术
激光手术激光手术是一种激光手术.

背景情况:

结石治疗通常涉及激光,不同类型激光的报道结果不同.
高功率激光 (HPL) 和低功率激光 (LPL) 是两种用于逆行内外科手术 (RIRS) 的技术.

研究的目的:

为了比较HPL与LPL的疗效和安全性,在接受RIRS治疗2厘米以下结石的患者中.
评估HPL和LPL对关键手术参数的影响,包括无结石率,手术持续时间,住院时间和光镜时间.

主要方法:

在一个前性组织的数据库上进行了观察性,回顾性,比较性,多中心性研究.
最初包括217名接受结石<2厘米的RIRS患者.
进行了倾向性得分匹配,最终分析了192名患者 (每组96名:LPL与HPL).

主要成果:

在第1天 (80.3%对78.1%) 和第3个月 (90.7%对87.5%) 的LPL和HPL组之间没有观察到无石头率的显著差异.
住院时间 (2.35 ± 2.27天 vs. 1.42 ± 1.10天),手术时间 (88.70 ± 29.72分 vs. 66.17 ± 41.02分) 和光镜时间 (90.73 ± 4.79秒 vs. 50.78 ± 5.64秒) 在HPL组显著较低 (p <0.001对所有).
根据克拉维恩分类分类的并发症率在两组之间相似 (p > 0.05).

结论:

在结石RIRS中,HPL和LPL都实现了可比的无结石率和并发症概况.
通过减少手术时间,住院时间和光镜时间,HPL提供了显著的优势.
尽管初始成本较高,但HPL在能量和频率设置方面的多功能性提高了其对泌尿科医生的实用性.

关键词:

灵活的尿路尿透镜.高功率的激光激光器.结石是什么意思结石是什么意思低功率激光器是一种低功率的激光器.逆行性内外科手术逆行性内外科

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