一个1.9毫米的Trilogy lithotripter在迷你穿皮利切除术中 技术描述和病例结果
Rebecca Kindler1, Arsha Venkat1, Natalia L Arias-Villela2
1New York Medical College, Valhalla NY, United States.
概括
1.9毫米的Trilogy lithotripter对于微型皮肤穿神经切除术 (mPCNL) 是有效的,即使石头位置和组成各不相同. 辅助灌技术提高了它在分解结石的效率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎病的治療方法 腎病的治療方法
背景情况:
- 迷你穿皮瘤切除术 (mPCNL) 是一种常见的结石切除手术.
- 特里洛基石探头是mPCNL用来破碎石头的工具.
- 评估像1.9毫米Trilogy探针这样的仪器的新用途对于改善外科手术结果至关重要.
研究的目的:
- 在mPCNL中评估1.9毫米的Trilogy石探针的有效性.
- 调查不同石位置和组成对治疗效率的影响.
- 为了确定辅助灌措施是否可以优化更大的探头尺寸的结果.
主要方法:
- 用1.9毫米的Trilogy探针进行mPCNL的患者的未来招募.
- 实施辅助灌技术来管理流量.
- 收集患者的人口统计数据,并发病症和实时手术数据.
- 使用克鲁斯卡尔-瓦利斯测试进行统计分析,以基于石材特性的结果进行比较.
主要成果:
- 在不同的石材成分和位置上,处理效率是可比的.
- 在下极,Lithotripter 1D的效率显著更高.
- 观察到12%的破碎探头率,可能表明一个学习曲线.
- 5名患者出现轻微并发症,其中1人需要住院治疗.
结论:
- 当与辅助灌一起使用时,1.9毫米的Trilogy石机对mPCNL是有效的.
- 这些技术有助于弥合石术时间和整体治疗时间之间的差距.
- 这项研究支持在mPCNL程序中使用这种更大的探头.
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