吸收技术能否成为一个潜在的游戏改变者,重塑儿科内分泌干预措施? 来自范围审查的结果
Vineet Gauhar1, Steffi Kar Kei Yuen2, Olivier Traxer3
1Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore.
World journal of urology
|November 25, 2024
概括
本次对吸收辅助的儿科结石手术的审查发现数据有限,但表明真空辅助的迷你皮肤透气瘤切除术 (PCNL) 提供了优秀的无结石率和低并发症.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- 儿童和青少年的结石存在独特的治疗挑战.
- 皮肤穿神经切除术 (PCNL) 和逆行性内外科手术 (RIRS) 是已确立的最少侵入性的选择.
- 在这些儿科手术中吸气/真空辅助的作用需要进行系统的评估.
研究的目的:
- 系统地审查吸管/真空辅助逆行性内外科手术 (RIRS) 和皮肤通瘤切除术 (PCNL) 在患有结石的儿科患者的应用和结果.
- 评估吸辅助技术在儿科尿病中的有效性和安全性.
- 为了确定当前关于真空辅助的儿童微创性石头手术的数据缺口.
主要方法:
- 在2024年5月14日之前,使用Embase,PubMed和Scopus进行了系统的文献搜索.
- 研究基于PICOS模型进行了选择:患有结石的儿科患者,吸辅助PCNL/RIRS,与非吸技术的比较,包括无石率 (SFR) 和并发症在内的结果.
- 包括的研究类型是前性和后性研究,以及案例报告,仅限于英语出版物.
主要成果:
- 包括10篇文章,其中9篇专注于迷你PCNL,一个比较迷你PCNL与RIRS.
- 迷你PCNL研究报告了优秀的无结石率 (73-100%) 没有输血和低的传染性并发症率 (发烧高达9.6%,败血症1%).
- 一个案例报告强调了使用冲击脉冲石机与吸管结合使用完整的石头清除.
结论:
- 关于儿童结石的吸入/真空辅助迷你PCNL和RIRS的数据很少.
- 初步发现表明,真空辅助迷你PCNL显示出有希望的疗效,具有高无结石率和在儿童中有利的安全性.
- 进一步的研究是有必要的,以充分阐明吸入辅助技术在儿科尿病的好处.
相关概念视频
01:25Suctioning the Oropharyngeal Airway
179
In preparing for oropharyngeal airway suctioning, a nurse must gather all necessary equipment, including a suction unit with tubing, a prepackaged suction kit, sterile gloves, water or saline for irrigation, a water-soluble lubricant, and additional personal protective equipment (such as a gown, mask, and goggles) to control infections.
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
After assembling the equipment, the nurse should practice hand hygiene and don appropriate PPE according to infection control guidelines to avoid the...
179
01:29Suctioning the Nasopharyngeal Airway
283
Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Equipment Required
283
01:26Tracheostomy Suctioning I: Pre-Procedural Steps
429
Tracheostomy suctioning is a critical procedure healthcare professionals perform to maintain a patent airway in patients with a tracheostomy tube. This procedure is necessary when secretions accumulate in the airway, causing respiratory distress. Here is a step-wise procedural guide for performing tracheostomy suctioning using an open system.
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
Equipment Required
First, gather all necessary equipment: a sterile suction catheter, a sterile disposable container, sterile gloves, a towel or...
429
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
50
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
50