在尿路透镜检查期间内体温升高:这是一个问题吗?
Hyung Joon Kim1, Sung Kyu Hong1,2
1Department of Urology, Seoul National University Bundang Hospital, Seongnam, Korea.
Investigative and clinical urology
|January 10, 2025
概括
治疗结石的高功率激光石化术存在热伤害风险. 本综述探讨了优化灌和激光设置等策略,以提高逆行性内手术期间的患者安全.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗技术 医疗技术 医学技术
- 激光手术 激光手术是一种激光手术.
背景情况:
- 尿病的患病率越来越高,需要进行最少的侵入性治疗.
- 激光技术的进步,包括holmium YAG和thulium纤维激光器,改善了上泌尿道石头的管理.
- 高功率激光石术带有热损伤尿膜粘膜的风险.
研究的目的:
- 审查在激光石术期间减轻热损伤的策略.
- 在逆行性内外科手术中提高患者安全.
主要方法:
- 现有文献的叙述性审查.
- 分析激光石术的热效应.
- 探索各种减热技术.
主要成果:
- 激光石术将大量能量转化为热量,冒着热损伤的风险.
- 内温度可以超过细胞损伤值,特别是在狭窄的空间.
- 有多种策略可以减少热伤害.
结论:
- 优化激光设置,灌和采用新的方法对于安全至关重要.
- 了解和实施这些策略可以改善激光石术的结果.
- 对减热的进一步研究对于推进微创性泌尿器科手术至关重要.
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