硬性尿路透镜石术与压力控制尿路接入用于复杂的Steinstrasse
Zhong Yuming1, Yao Lei1, Zhai Qiliang1
1Department of Urology, Ganzhou People's Hospital, 17 Hongqi Avenue, Ganzhou, 341000, Jiangxi, China.
BMC urology
|May 28, 2024
概括
使用压力控制尿路接入 (PC-UAS) 的刚性尿路透镜石术对于复杂的施泰因斯特拉塞是安全有效的. 这种技术可以控制腔压力,减少操作时间和高无石头率,最大限度地减少并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
- 腎石病的管理方法
背景情况:
- 复杂的Steinstrasse,在泌尿病学中是一个重大挑战,往往需要先进的治疗方式.
- 传统的尿路透镜式石可以与增加内压力和潜在并发症的风险有关.
研究的目的:
- 为了评估刚性尿道镜式石质的安全性和有效性.
- 评估使用压力控制尿道接入 (PC-UAS) 在管理复杂的steinstrasse.
主要方法:
- 一项前性研究涉及31名斯坦斯特拉斯综合症患者,这些患者接受了硬性尿路透镜性石和PC-UAS治疗.
- 保持了受控的腔压参数,用holmium激光石术用于石块碎片.
- 关键结果包括腔压,手术时间,无石头率和并发症发生率.
主要成果:
- 在使用PC-UAS的31名患者中,29名患者获得了成功的治疗.
- 在接受治疗的患者中,腔压保持在20mmHg以下,确保清晰的可视化.
- 观察到高无石头率为1天后93.1%和1个月后96.6%,没有重大并发症.
结论:
- 使用PC-UAS的刚性尿路透镜石术在复杂的施斯特拉斯治疗过程中有效控制了内压力.
- 该技术证明了石块碎片效率的提高,并降低了并发症率.
- 通过PC-UAS,可以缩短操作时间,并提高治疗挑战性尿路结石的成功率.
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