动态脏扫描作为灵活尿路透镜后续检查的一种方式
1Urology Department, Barzilai Medical Center, Ben Gurion University of the Negev, Beer Sheva; Assuta Medical Center, Ramat Hyal, Ben Gurion University of the Negev, Beer Sheva. dr.muradasali@gmail.com.
概括
柔性尿路透镜后,尿路阻塞是罕见的. 常规脏扫描可能有利于高风险患者进行早期干预和脏保存.
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.
- 医疗成像医学成像
背景情况:
- 柔性尿道透视 (f-URS) 是治疗上尿路结石 (UUTS) 的常见手术.
- 手术后阻塞可能导致功能受损,需要早期干预.
- 动态脏扫描 (DTPA或MAG3) 用于评估功能和检测塞.
研究的目的:
- 在f-URS后评估常规术后动态脏扫描 (DTPA或MAG3) 的实用性.
- 为了确定这些扫描是否能检测出尿路阻塞,并促进及时干预以保护脏.
主要方法:
- 在2010年4月至2023年10月期间,对242名患者进行f-URS进行UUTS的250个单元的回顾性分析.
- 收集的数据是前性的,包括患者人口统计,石头特征,无石头率 (SFR) 和并发症 (Clavien-Dindo分类).
- 使用DTPA或MAG-3脏扫描评估术后阻塞和功能.
主要成果:
- 实现了高无石头率:94.8%单次治疗后,99.7%第二次治疗后.
- 尿道双J支架在53.6%的病例中使用;小并发症在0.8%的患者中.
- 尿道狭窄仅发生在0.4%的患者中;在六个临时阻塞患者中,有五个在重复脏扫描时自发改善.
结论:
- 在f-URS之后的术后尿路阻塞是罕见的.
- 常规脏扫描可能有助于识别特定高风险患者的阻塞,使得迅速的管理.
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