使用LithoVueTM精英:不同灌系统和工作通道仪器的影响
Lucas B Vergamini1, Wilson R Molina1, Willian Ito2
1Department of Urology, The University of Kansas Health System, 3901 Rainbow Boulevard, Mail Stop #3016, Kansas City, KS, 66160, USA.
World journal of urology
|July 18, 2024
概括
与自动相比,单一动作系统 (SAPS) 在柔性尿道镜检查过程中显示了较高的肠内压力 (IRP) 和流量 (FR). 增加的压力和更小的尿路接入 (UAS) 与更高的IRP和FR相关.
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.
- 医疗器械技术 医疗器械技术
背景情况:
- 柔性尿路透镜是治疗结石的关键手术.
- 优化内压力 (IRP) 和流量 (FR) 对于程序的安全性和有效性至关重要.
- 不同的灌系统和配件可能会影响这些参数.
研究的目的:
- 在柔性尿路透镜检查期间评估实时的IRP和FR.
- 为了比较各种灌方法 (IM),工作通道占用者 (WCO) 和尿道接入罩 (UAS).
- 用LithoVueTM Elite尿管镜和不同的灌系统,包括自动来评估性能.
主要方法:
- 使用猪脏模型测量IRP和FR,使用LithoVue精英尿管镜测量IRP和FR.
- 测试的灌方法包括单动作抽水系统 (SAPSTM),Thermedx FluidSmartTM和不同压力 (50,100,150 mmHg) 的 ENDOMATTM.
- 评估了不同的工作通道占用者 (篮子,激光纤维) 和尿管接入罩 (11/13Fr,12/14Fr).
主要成果:
- 在所有测试的尿道镜设置中,SAPS系统相比自动的IRP和FR总是更高.
- 增加压力与IRP和FR正相关 (rho > 0.9).
- 较大的工作通道占用者和尿道接入显著降低了IRP和FR,特别是自动化.
结论:
- 在灵活的尿路透镜检查过程中,SAPS灌系统提供了比自动更高的IRP和FR.
- 更高的压和更小的UAS增加了IRP和FR,而更大的WCO则降低了它们.
- 这些发现有助于选择最佳的灌策略和配件,以管理肠内压力和流量.
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