激光石在脏石病中 - 2023年更新 - 一个叙述性审查
Bogdan Buzescu1,2, Cosmin Cozma1,2, Petrisor Geavlete1,2
1"Carol Davila" University of Medicine and Pharmacy, Bucharest, Romania.
Maedica
|August 27, 2024
概括
尿路透镜激光光的最新进展,包括新的图纤维激光器 (TFL),为尿路结石病患者提供了改善的外科疗效和减少并发症. 本综述强调了治疗结石的当前进展.
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.
- 激光技术 激光技术 激光技术
背景情况:
- 尿病 (结石疾病) 是一个日益严重的全球健康问题.
- 激光石术的技术进步为泌尿科医生提供了多种不同的治疗选择.
- 这篇综述侧重于尿路透镜激光石石质的当前发展.
研究的目的:
- 为了提供一个概述的最新进步在尿路透镜激光石.
- 评估新技术在减少并发症方面的有效性.
- 评估结石治疗手术结果的改善.
主要方法:
- 在2023年10月使用PubMed.Med进行了全面的文献搜索.
- 包括研究的重点是尿路透镜激光石石质治疗脏质病.
- 搜索仅限于关于成人人类受试者的英语文章,包括在2022-2023年发表的评论和原始研究.
主要成果:
- 研究包括来自亚洲,北美和欧洲的1570名患者 (18-85岁).
- 分析的主要疗效结局包括无石头率 (SFRs),并发症率和手术时间.
- 所有包含的研究都在2022年和2023年发表,反映了最近的进展.
结论:
- 泌尿内科的技术进步是由 urolithiasis 的发病率不断增加所推动的.
- 霍尔激光器已经确立,但图纤维激光器 (TFL) 代表了一个新的技术发展.
- 目前正在进行的进展旨在提高手术的有效性,并尽量减少结石治疗中的并发症.
相关概念视频
01:28Urinary Tract Calculi I: Introduction
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
01:30Urinary Tract Calculi III: Medical Management
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
01:28Urinary Tract Calculi V: Nursing Management
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...