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尿道壁厚度作为施泰因斯特拉塞的非侵入性治疗成功的预测指标. 我们能节省时间吗?

M A Elbaset^1,2, Diaa-Eldin Taha³, Marwan Anas⁴

¹Urology Department, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt. abdelbaset.m.i@gmail.com.

World journal of urology

|March 13, 2024

概括

尿管石流 (SS) 的非侵入性治疗在超过一半的患者中是成功的,特别是具有较小石头和较薄的尿管壁的I型SS. 减少尿道壁厚度是成功非手术清除的关键预测因素.

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.
医学科学医学科学医学科学

背景情况:

尿道石流 (SS) 是结石治疗的一种并发症.
非侵入性管理选择包括医疗驱逐疗法 (MET) 和冲击波石 (SWL).

研究的目的:

为了确定影响无并发性尿路石流 (SS) 非侵入性治疗成功的因素.
评估医疗驱逐疗法 (MET) 和冲击波石治疗 (SWL) 对于SS清除的疗效.

主要方法:

对145名因结石而接受SWL的患者 (2017-2021) 的回顾性分析.
包括没有并发症的SS患者,收集人口统计和放射学数据.
基于完全清除而没有并发症或需要干预的非侵入性治疗成功 (SFR) 的评估.

主要成果:

总体而言,非侵入性治疗的成功率为53.8% (78名患者).
在27.9%的案例中,仅仅MET就实现了SFR.
增加成功的因素包括SS型I,领头石大小≤10毫米,尿道壁厚度 (UWT) 降低.

结论:

尿道壁厚度是SS管理成功的重要预测因素.
建议对I型SS进行非侵入性治疗,前进石头≤10毫米,UWT减少.

关键词:

医学驱逐疗法 (MET) 是一种医疗驱逐疗法.冲击波石 (SWL) 是一种施泰因街 (SS) 是一个石头石头石头石头石头尿道壁厚度 (UWT) 是指尿道壁厚度.

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