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干预性放射学对辐射暴露的比较与尿道学指导的脏接入进行皮肤穿透性利切除术

Dar Yoffe¹, Sarah Fashakin¹, Kenneth Lim²

¹Georgetown University School of Medicine, Washington, DC, USA.

International urology and nephrology

|January 20, 2025

概括

使用内镜联合内外科手术 (ECIRS) 进行皮肤穿神经切除术 (PCNL) 与干预放射学 (IR) 辅助接入相比,显著减少了辐射暴露和手术时间. ECIRS提供了一种更安全的结石治疗方法.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
干预性放射学干预性放射学
脊髓石切除术 (nephrolithotomy) 是一个切除术.

背景情况:

穿皮瘤切除术 (PCNL) 期间的辐射暴露因脏接入方法而异.
这项研究比较了干预性放射学 (IR) 的光学时间和剂量与PCNL的泌尿器科基础脏接入.

研究的目的:

为了比较辐射暴露 (光学时间和剂量) 和操作参数之间的IR辅助和泌尿器科执行 (ECIRS) 门对PCNL.
研究身体质量指数 (BMI) 对两组结果的影响.

主要方法:

单方面PCNL案件的回顾性审查 (2020年1月 - 2023年2月).
患者分为ECIRS (泌尿器科) 和IR辅助访问组.
使用威尔科克森等级和和测试和多变量分析进行统计比较.

主要成果:

与IRIR组 (n=66) 相比,与IR辅助组 (n=31) 相比,ECIRS组 (n=66) 的光镜剂量中位数 (39.6 vs. 327 mGy),光镜时间 (1.46 vs. 10.9 分钟),手术时间 (1.97 vs. 3.00 小时) 和停留时间 (1.26 vs. 3.06 天) 显著降低.
在IR组BMI与光镜剂量正相关 (p<0.001),但在ECIRS组没有.

结论:

与IR-辅助访问相比,使用ECIRS访问的PCNL显著减少了辐射暴露,操作时间和停留时间.
透视接可能导致整体辐射暴露较低,术后并发症较少.
在IR辅助的PCNL中,BMI会影响辐射暴露和操作时间,但在ECIRS中不会影响.

关键词:

干预性放射学是干预性的放射学.脏石病是一种神经质病.通过皮肤进行神经质切除术.暴露于辐射的辐射暴露.

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