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评估柔性尿路透镜的结果,用于下极石和非下极石,使用柔性和可航行的吸收尿路接入:EAU Endourology和PEARLS集团的一项前性多中心研究
Anil Shrestha1,2,3, Olivier Traxer4,5, Christian Seitz6
1Department of Urology, National Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal. anyl77@hotmail.com.
World journal of urology
|December 20, 2024
概括
灵活和可导航的吸入接入盖 (FANS) 对较低的杆石有效,为其他位置提供可比的无石速率. 这种方法证明了在尿路透镜手术中低的再干预率的安全性.
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.
- 腎石病的管理方法
背景情况:
- 灵活的尿路透镜越来越多地利用吸收技术.
- 灵活和可航行的吸入接入 (FANS) 在改善无石头率 (SFR) 方面表现出有希望.
- 对于较低杆石 (LPS) 的FANS的特定疗效和安全性仍在调查中.
研究的目的:
- 评估FANS在实现下方杆石无石率方面的有效性.
- 评估与FANS在下极石处理中的使用相关的并发症率.
- 为了比较FANS在较低杆石与非较低杆石的结果.
主要方法:
- 一项涉及394名成人患者的多中心研究,这些患者使用FANS进行尿路透镜检查.
- 术后非对比CT扫描 (NCCT) 用于确定30天内无结石率.
- 剩余碎片被分类 (A-D),术后并发症被仔细记录.
主要成果:
- 在较低的杆石 (54.8%) 和非较低的杆石 (58.6%) 之间,没有石头的比率是可比的.
- 在98.4%的下极石头案例中,高无石头率 (A+B等级) 实现,而在其他案例中为96.6%.
- 图纤维激光的使用与较高的SFR相关,而石块体积与较低的SFR相关;并发症是最小的 (Clavien 2在3.2%的LPS病例中).
结论:
- 粉丝是一种有效和安全的选择,用于通过柔性尿路透镜治疗下极石.
- 使用FANS的较低杆石的无石率与非较低杆位的无石率相当.
- 对于下极石和非下极石,FANS 显示了非常低的再干预率.
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