无症状偶发性结石的逆行性内手术:一个回顾性,现实世界的数据分析
William Lay Keat Ong1, Bhaskar Kumar Somani2, Khi Yung Fong3
1Department of Urology, Penang General Hospital, Penang, Malaysia.
BJU international
|February 12, 2024
概括
逆行性内手术 (RIRS) 为无症状的偶发性结石 (AIRS) 提供了有利的无石头率. 讨论潜在的重新干预对于明智的患者决策至关重要,特别是在更大或多个石头的情况下.
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.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 无症状偶发性结石 (AIRS) 的管理仍在争论中.
- 选择包括积极监测,冲击波石或提前干预.
- 逆行性内手术 (RIRS) 越来越多地被认为是AIRS.
研究的目的:
- 评估AIRS患者的手术结果和前期RIRS的无结石率 (SFRs).
- 在这个患者队列中确定影响SFR的因素.
- 为AIRS.提供关于RIRS的真实数据.
主要方法:
- 灵活泌尿镜检查结果注册表 (FLEXOR) 的回顾性分析.
- 包括使用RIRS治疗AIRS的成年患者.
- 多变量逻辑回归用于评估与SFR相关的因素.
主要成果:
- 共有640名患有AIRS的患者接受了RIRS.
- 总体的SFR为68.8%,达到68.8%的水平.
- 与较低SFR相关的因素包括使用霍尔激光和多块石头. 并发症是最小的,有败血症在1.6%.
结论:
- 前期RIRS显示了有利的SFR,对于AIRS患者来说,并发症是可以接受的.
- 对潜在的重新干预的预防性讨论对于患者的决策很重要.
- 对于AIRS来说,RIRS是一个可行的选择,对复杂的案件进行仔细考虑.
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