在COVID-19时代之后,SWL的实际临床实践模式:从不同方面进行批判性评估
Erhan Erdoğan1, Göksu Sarıca2, Cahit Şahin3
1Department of Urology, Sancaktepe Sehit Prof. Dr. Ilhan Varank Research and Training Hospital, Istanbul, Turkey. erhandr@hotmail.com.
Urolithiasis
|November 1, 2024
概括
冲击波石 (SWL) 仍然是治疗较小石头的可行选择,在COVID-19后使用率增加. 然而,成本和人员等因素会影响其应用,强调需要遵守指导方针和战略性患者选择以获得最佳结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗技术 医疗技术 医学技术
背景情况:
- 冲击波石 (SWL) 是尿路结石治疗的一个关键程序.
- COVID-19 流行病影响了医疗保健实践,包括泌尿外科手术.
- 了解当前的SWL应用和影响因素对于优化石材管理至关重要.
研究的目的:
- 评估Shock Wave Lithotripsy (SWL) 应用的当前状态和COVID-19后的变化.
- 确定影响SWL临床实践的关键因素.
- 提供关于SWL在石材处理中的作用和未来的见解.
主要方法:
- 这是一项以调查为基础的研究,针对650名国内和国际泌尿外科专家.
- 通过谷歌表单自愿参与,完成了398项调查 (61.23%的回复率).
- 数据收集的重点是 COVID-19 后的 SWL 实践的经验和观点.
主要成果:
- 近一半的SWL手术是由技术人员或护士进行的,而不是泌尿科医生.
- 光镜仍然是主要的放射性评估方法;建议进行超声波培训.
- 有限的SWL应用与设备的缺失,高成本和较低的补偿相比PNL和fURS有关.
- 由于其门诊和非侵入性优势,SWL的利用在COVID-19后增加.
- 对于小于15毫米的石头,SWL是有效的.
结论:
- 冲击波石 (SWL) 仍然与特定的石头负担相关,特别是在流行后.
- 战略性患者选择和遵守指南对于成功的SWL结果至关重要.
- 解决成本,报销和人员挑战可以增强SWL的临床应用.
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