机械通风期间的潮体积是否会影响儿科逆行性内外科手术的结果?
Muzaffer Tansel Kılınç1, Mehmet Serkan Özkent2, Ömer Faruk Çavdar3
1Department of Urology, Konya City Hospital, Konya, 42020, Turkey. m.tanselkilinc@gmail.com.
World journal of urology
|February 4, 2025
概括
在儿科逆行性内手术 (RIRS) 期间降低潮体积可能会提高无石头率. 这种调整增强了激光准和外科现场稳定性,使得在接受RIRS的儿童中获得更好的结果.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 最少侵入性的手术
- 麻醉学 麻醉学
背景情况:
- 逆行性内手术 (RIRS) 是儿童结石的关键治疗方法.
- 机械通风 (MV) 参数,包括潮体积,可以影响手术条件.
- 优化MV设置可能会提高儿科患者的RIRS结果.
研究的目的:
- 调查在MV期间潮体积对儿科RIRS.结果的影响.
- 根据潮体积设置来比较无石头率和并发症概况.
主要方法:
- 儿科RIRS病例的回顾性分析 (2018年1月 - 2023年1月).
- 患者根据潮体积分为两组:≤7毫升/千克 (第一组) 和>7毫升/千克 (第二组).
- 在不同组之间比较人口,临床,术后和术后数据.
主要成果:
- 分析了83名儿科患者;群体的人口统计和临床特征相似.
- 没有观察到石头特征或手术参数的显著差异.
- 在一个月后,在低潮水体积组 (1组) 中发现了更高的无石头率 (90.3%对比71.1%,p=0.03).
- 没有发生高度或麻醉相关的并发症.
结论:
- 在儿科RIRS期间减少潮体积可能会导致改善无石头率.
- 较低的潮体积可能会提高作战现场稳定性和激光准效率.
- 这一策略可能会改善儿科RIRS的外科舒适性和结果.
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