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针技术 (有刺的连续与常规的中断) 是否会影响静脉尿路整形术的结果?

Yunus Çolakoğlu¹, Deniz Noyan Özlü², Ali Ayten³

¹Department of Urology, Başakşehir Çam and Sakura City Hospital, Istanbul, Turkey.

International urology and nephrology

|October 9, 2024

概括

连续 suture (CS) 和中断 suture (IS) 技术在切除和初级解剖 (EPA) 尿道成形方面表现出类似的成功率和并发症率. CS可缩短操作和导管时间,提供更早的导管切除.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术技巧手术技巧
重建性手术是一种重建性手术.

背景情况:

尿道造形术是尿道狭窄的主要治疗方法.
切除和初级解剖 (EPA) 是一种常见的尿路整形技术.
选择 suture 技术可能会影响结果.

研究的目的:

为了比较EPA尿道成形中的连续 (CS) 和中断 (IS) 技术.
评估CS和IS技术之间的手术成功率和并发症率.
评估技术对手术时间和导管持续时间的影响.

主要方法:

对97名患有腹尿道狭窄 (≤2.5厘米) 的患者进行回顾性评估,接受EPA.
排除标准包括之前的尿道手术,放射治疗,状样硬化和短时间的随访 (<12个月).
患者被分为CS (n=52) 和IS (n=55) 组进行比较.

主要成果:

在CS和IS组之间,解剖成功,失禁,麻木,曲或感染没有显著差异.
连续接 (CS) 组的操作时间 (94.7分 vs. 117.2分) 和导管时间 (9.9分 vs. 15.8分) 显著缩短.
所有比较的P值为>0.05,除了操作和导管时间 (p<0.001).

结论:

连续 suture (CS) 和中断 suture (IS) 技术都有效用于切除和初级解剖 (EPA) 尿路成形.
通过缩短手术时间和允许更早地切除导管,CS技术提供了优势.
两种技术之间没有观察到手术成功率或并发症率的显著差异.

关键词:

静止式尿路化手术 (anastomotic urethroplasty) 是一种动静静止式的手术.连续接连续接被打断的线被打断了制技术制技术制技术尿道狭窄是因为尿道狭窄

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