灵活尿路透镜术期间的液体吸收与骨压力的智能控制:一项随机对照试验
Xiaolin Deng1,2, Yijian Chen1, Qiliang Zhai1
1Department of Urology, Ganzhou Hospital-Nanfang Hospital, Southern Medical University, 17 Hongqi Avenue, Ganzhou City, 341000, Jiangxi Province, People's Republic of China.
World journal of urology
|May 17, 2024
概括
在柔性尿路透镜术期间,对骨压力的智能控制显著降低了液体吸收. 较长的操作时间和尿路损伤增加了液体吸收,影响了患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 灵活的尿路透镜是一种常见的程序,用于上部尿路结石.
- perfusion 液体的吸收可能会导致并发症.
- 控制骨压力 (RPP) 可能会减轻液体吸收.
研究的目的:
- 评估智能RPP控制在柔性尿路透镜检查期间减少液体吸收的有效性.
- 为了确定影响流体吸收过程中的因素.
主要方法:
- 一项随机对照试验,涉及80名接受柔性尿路透镜检查的患者.
- 创建了四组不同RPP设置 (-5,0,5 mmHg和不受控制的).
- 使用1%的乙醇测量液体吸收;记录了操作时间和并发症.
主要成果:
- 智能RPP控制显著减少了流体吸收,与未控制组相比 (P <0.01).
- 液体吸收与运行时间呈正相关性 (R = 0.864-0.947,P < 0.01).
- 吐,发烧和尿道损伤等并发症与增加的液体吸收有关 (P < 0.01).
结论:
- 智能控制RPP是有效的在灵活尿路透镜期间最大限度地减少 perfusion 液体的吸收.
- 手术时间和尿道损伤的存在/严重程度是影响液体吸收的重要因素.
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