引入一种新的设备,用于在结石疾病的柔性尿道镜检查过程中直接在范围内的吸收技术:使用GLITZ系统进行EAU Endourology部分的前性多中心审计
Vineet Gauhar1, Olivier Traxer2, Nanjappa Madappa Kandarthanda3
1Department of Urology, Ng Teng Fong General Hospital, Singapore, Singapore.
Therapeutic advances in urology
|February 24, 2025
概括
GLITZ系统通过改善激光石术期间的除尘,增强了灵活的尿路透镜学. 这款直射吸管 (DISS) 配件在最近的一项研究中实现了96.6%的无石头率.
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.
- 最少侵入性的手术
背景情况:
- 在柔性尿路透镜检查过程中,直接透视吸收 (DISS) 有助于灌和吸收.
- 现有的集成吸收范围与较大的颗粒 (>250微米) 斗争,并且是单次使用的.
研究的目的:
- 评估GLITZ系统的外科治疗结果,GLITZ系统是一款用于柔性尿路透镜的新型吸配件.
- 评估GLITZ系统在促进集成吸收的激光石术中的有效性.
主要方法:
- 这是一项前性多中心研究,涉及29名患者.
- 该GLITZ系统,一个100克触发器安装的配件,被用于一次性尿管镜和激光光.
- 外科医生评估了易用性;30天后通过CT扫描确定了无石头的状态.
主要成果:
- 在93.1%的案例中,GLITZ系统表现出令人满意的性能,其中62.1%实现了完全吸尘.
- 实现了75.9%的A级无石头率,30天后总体无石头率为96.6% (A+B级).
- 最常见的并发症是发烧 (10.3%),没有报告的败血症病例.
结论:
- 在柔性尿路透镜检查过程中,GLITZ系统在直接在视野吸管过程中表现出有效性.
- 该系统提供了高的无石头率,这表明有很大的潜力改善激光石术的结果.
- 建议进行进一步的研究,以优化流量和可用性,以便在更广泛的临床应用中.
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
01:24Imaging Studies II: Ultrasonography
IntroductionUltrasonography, or renal ultrasound, is a noninvasive medical imaging technique that uses high-frequency sound waves to visualize the kidneys, ureters, bladder, and surrounding tissues.Indications for Urinary System UltrasonographyUrinary system ultrasonography is indicated in various clinical scenarios, such as:Kidney Stones (Urolithiasis): To detect and monitor the size and presence of kidney or urinary tract stones.Hydronephrosis: To assess the dilation of the renal pelvis and...
01:22Imaging Studies V: Intravenous Urography and Retrograde Pyelography
IntroductionIntravenous Urography (IVU) and Retrograde Pyelography (RP) are important diagnostic imaging techniques used to evaluate the urinary system. These methods help identify structural abnormalities, obstructions, and functional issues in the kidneys, ureters, and bladder. Both procedures use iodine-based contrast media to enhance the visibility of urinary tract structures on X-ray images, though they differ in their methods and indications.1. Intravenous Urography (IVU)Intravenous...
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...