"脏石头计算器"能有效预测尿路透镜石治疗的持续时间吗? 一个holmium:YAG和纤维激光器的比较分析
Marie Chicaud1,2,3,4, Stessy Kutchukian1,2,3,5, Steeve Doizi1,2,3
1GRC n°20, Groupe de Recherche Clinique sur la Lithiase Urinaire, Hôpital Tenon, Sorbonne Université, 75020, Paris, France.
World journal of urology
|April 13, 2024
概括
石计算器 (KSC) 软件准确地预测了使用霍:YAG (Ho:YAG) 和纤维激光器 (TFL) 进行柔性尿路透镜的激光石术持续时间. 虽然可靠,但某些因素可能导致低估治疗时间.
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
- 手术规划 手术规划
背景情况:
- 灵活的尿路透镜与激光光是一种常见的治疗脏和尿路结石.
- 准确的手术规划,包括预测手术时间,对于有效的患者管理至关重要.
- 石计算器 (KSC) 软件旨在协助这个规划过程.
研究的目的:
- 为了评估结石计算器 (KSC) 对于石治疗持续时间的预测准确性.
- 为了比较KSC对holmium:YAG (Ho:YAG) 和thulium光纤激光 (TFL) 的预测.
- 评估KSC在灵活尿路透镜手术规划中的可靠性.
主要方法:
- 一项多中心前性研究招募了89名患者,这些患者接受了用激光光的柔性尿路透镜检查.
- 结石计算器 (KSC) 根据3DCT石块细分和激光设置估计了结石治疗的持续时间.
- 主要终点:估计与有效石术持续时间的比较;次要终点:子组分析和手术内结果.
主要成果:
- 在估计的和有效的石术持续时间 (27.37与28.36分钟,p=0.43) 之间没有发现显著差异.
- 在估计和有效持续时间之间发现了强烈的相关性 (r=+0.89,p<0.001).
- 图纤维激光器 (TFL) 显示的相关性 (r=+0.95) 比holmium:YAG (Ho:YAG) (r=+0.81) 高;多变量分析确定了石块体积和石分离器作为预测因素.
结论:
- 结石计算器 (KSC) 是一个可靠的工具,用于对Ho:YAG和TFL进行柔性尿路透镜测量,以估计结石持续时间.
- 虽然通常是准确的,但某些手术前和手术期间的变量可能会导致低估手术时间.
- KSC有助于手术规划,但对于精确的时间估计,需要意识到影响因素.
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