影响在灵活尿路透镜时内分泌的因素:一个体外分析
Baiyang Song1,2, Yue Cheng3,4, Yunfei Lu5
1Department of Urology, The First Affiliated Hospital of Ningbo University, 59 Liuting Road, Ningbo, Zhejiang, 315010, People's Republic of China.
World journal of urology
|March 9, 2024
概括
在柔性尿道透镜石 (fURL) 期间优化手术内石分泌 (ICE) 涉及使用负压尿道接入 (UAS),更小的内镜直径比率和较温和的水解. 较小的石尺寸和侧面的外科位置也可以在fURL手术过程中增强ICE.
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.
- 医疗模拟 医疗模拟
背景情况:
- 灵活的尿道透视力托 (fURL) 是一个常见的结石去除手术.
- 术内结石分泌 (ICE) 是成功的fURL结果的关键因素.
- 优化ICE可以减少手术时间并改善患者的治疗结果.
研究的目的:
- 调查影响在灵活尿路透镜液 (fURL) 期间手术内石块排泄 (ICE) 的关键参数.
- 确定手术技术和设备选择,以提高在fURL期间的石块片段清除.
- 为改善临床实践中的ICE提供基于证据的建议.
主要方法:
- 利用3D打印的人类脏模型进行fURL的体外模拟.
- 分析了不同程度的水解,手术位置,内镜 - 皮层直径比率 (RESD),石大小和尿道接入皮层 (UAS) 类型对ICE的影响.
- 采用统计分析来确定ICE上的每个因素的意义.
主要成果:
- 所有测试的因素,包括UAS类型,RESD,水解,手术位置和石大小,都对ICE产生了重大影响 (p < 0.05).
- 负压无人机系统对ICE有显著的积极影响.
- 较小的石尺寸,较轻的水解和侧面手术位置与改善的ICE有关.
结论:
- 负压UAS,较小的RESD,较温和的水解,横向位置和较小的石尺寸对于在fURL期间增强ICE至关重要.
- 选择UAS,特别是负压变种,为ICE提供了最显著的改进.
- 这些发现可以指导泌尿科医生优化fURL程序,以便更好地清除石头.
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