在逆行性内手术前,初级结石患者的难以排尿的预测因素
Samet Senel1, Emre Uzun1, Kazim Ceviz1
1Department of Urology, Ankara City Hospital, Ankara, Turkey.
Central European journal of urology
|September 30, 2024
概括
年龄较小,女性性别和先前的尿路感染增加了逆行性内手术 (RIRS) 期间难以排尿的风险. 这些因素对于预测尿道接入 (UAS) 插入的挑战至关重要.
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.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 在逆行性内手术 (RIRS) 期间,尿道接入可能具有挑战性,特别是在初级病例中.
- 一个"困难的尿道"阻碍了尿道接入 (UAS) 和/或半刚性尿道镜的插入.
- 识别导致尿道困难的因素对于手术规划至关重要.
研究的目的:
- 在接受RIRS的携带石头的患者中,确定显著影响ipsilateral尿管可访问性的参数.
- 在初级RIRS手术中划出难以插入尿管的预测因素.
主要方法:
- 对454名接受RIRS治疗原发性结石的患者进行了回顾性审查.
- 收集的数据包括患者的人口统计,并发病,石头特征和手术细节.
- 困难的尿道定义为无法插入半刚性尿道镜或UAS;患者相应分组.
主要成果:
- 困难的尿道发生率为7.5% (34/454名患者).
- 患有困难尿道的患者更年轻,女性性别和先前尿路感染率更高.
- 多变量分析显示,较年轻的年龄 (OR 1.040),女性性别 (OR 2.859) 和以前的尿路感染 (OR 3.327) 是难以排尿的重要预测因素.
结论:
- 在RIRS期间,难以排尿的尿管与年轻的年龄,女性性别以及尿路感染史有关.
- 这些因素是预测和管理RIRS中的尿道接入挑战的关键预测因素.
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