真空辅助除尘石:一项对高风险患者进行的回顾性比较研究,这些患者手术前尿液培养结果呈阳性
Junjie Liang1, Zhonghua Shen1, Linguo Xie1
1Department of Urology, Tianjin Institute of Urology, The Second Hospital of Tianjin Medical University, No.23 Pingjiang Road, Hexi District, 300211, Tianjin, People's Republic of China.
World journal of urology
|February 17, 2025
概括
具有灵活的真空辅助尿道接入 (FV-UAS) 的真空辅助除尘石 (VADL) 提供了改善上泌尿道结石的结果. 这种方法显著减少了感染性并发症,并增加了阳性尿液培养患者的无结石率.
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:
- 上部泌尿道结石是一个重大的临床挑战,特别是在尿液培养结果呈阳性的患者中.
- 传统的柔性尿道透视性石 (fURL) 是一种常见的治疗方法,但感染性并发症仍然令人担忧.
研究的目的:
- 为了比较真空辅助除尘石术 (VADL) 使用柔性真空辅助尿道接入 (FV-UAS) 与传统fURL的疗效.
- 为了评估患有上泌尿道结石和阳性手术前尿液培养的患者的结果.
主要方法:
- 在2022年1月至2024年8月期间接受治疗的421名患者的回顾性分析.
- 倾向性得分匹配 (1:1比) 用于比较VADL和传统的fURL组.
- 评估无石头率,手术持续时间,住院时间和传染性并发症.
主要成果:
- VADL组的系统性炎症反应综合征 (SIRS) 发生率显著降低,住院时间更短.
- 与传统的fURL相比,在VADL组中观察到更高的无石头率.
- 两组之间没有发现手术后发烧或手术持续时间的显著差异.
结论:
- 在患有上泌尿道结石和阳性尿培养的患者中,VADL显著降低了手术后感染性并发症.
- 与传统的fURL相比,VADL可以提高无石头率.
- 这种技术代表了尿路透镜石治疗在特定患者群体中的有希望的进步.
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