超声波导向光镜能否有效地减少儿童迷你皮肤利切除术中的辐射时间和剂量,这是一项前性随机试验
Amr K Salama1, Mahmoud A ElSabbagh1, Ahmed M Fahmy1
1Urology Department, Pediatric Urology Section, Alexandria School of Medicine, Alexandria, Egypt.
Urology
|March 15, 2025
概括
光镜辅助的超声波指导显著减少了微透皮瘤切除术 (PCNL) 的辐射暴露和手术时间. 这种技术实现了与传统光学单独相比的无石头和并发症率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 医疗成像医学成像
背景情况:
- 透皮石切除术 (PCNL) 是石去除的一个关键手术.
- 传统的PCNL严重依赖光学,导致患者和工作人员的辐射暴露很大.
- 最少侵入性PCNL (迷你PCNL) 旨在减少侵入性,但需要准确的指导.
研究的目的:
- 评估光学辅助超声波指导在小型PCNL期间减少辐射暴露的有效性.
- 为了比较超声导向与传统光学导向迷你PCNL的无石头率和并发症概况.
主要方法:
- 一项前性随机研究包括50名接受迷你PCNL的患者.
- 患者被分为两组:A组 (仅使用光学) 和B组 (使用光学辅助超声波).
- 分析的关键结果包括无结石率,并发症率,光镜时间和辐射剂量.
主要成果:
- 与A组相比,B组的光镜时间 (29.44±17.01s vs 157.9±68.54s) 和辐射剂量 (6.07±3.57 mGy vs 32.35±13.79 mGy) 显著减少 (P<.05).
- 在B组中,穿孔时间也大幅缩短 (52.20±33.20s vs 136.6±50.78s) (P<.05).
- 在两组之间,无石头率 (总体95.3%) 和并发症率 (16%对12%) 在统计学上是相似的.
结论:
- 与光镜单独相比,光镜辅助超声波指导是小型PCNL的更安全,更有效的方法.
- 这种技术在减少辐射暴露和程序持续时间方面提供了实质性的好处.
- 它实现了与传统光学引导PCNL相等的临床结果.
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