大石块碎片的搬迁与直接进入范围的吸收
Arman Tsaturyan1,2,3,4, Eugenio Ventimiglia5,6,7, Arkadya Musayelyan8
1Department of Urology, Yerevan State Medical University after M. Heratsi, Yerevan, Armenia. tsaturyanarman@yahoo.com.
World journal of urology
|April 3, 2025
概括
带有DISS功能的新型一次性使用的数字柔性尿管望远镜可以仅使用吸收来重新安置和疏散高达4毫米的石碎片. 更快的骨盆骨系统崩改善了石头疏散的成功.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗器械 医疗器械
- 腎石病的管理方法
背景情况:
- 灵活的尿路透镜是结石的关键治疗方法.
- 一次性尿管望远镜在感染控制和成本效益方面具有优势.
- 新型的数字柔性尿管望远镜旨在改善石块碎片的管理.
研究的目的:
- 为了评估7.5Fr和9.2Fr一次性使用的数字柔性尿道镜中DISS功能的有效性.
- 为了确定转移和疏散结石碎片 (2-5mm) 的能力,无需辅助仪器.
- 评估范围大小和位置对石头疏散成功的影响.
主要方法:
- 使用猪脏和尿道进行了ex-vivo研究.
- 将天然酸盐二酸盐石碎片 (2-5mm) 放置在各种的位置.
- 使用7.5Fr和9.2Fr尿管望远镜,对每块石头和位置进行5次疏散尝试.
- 测量骨盆骨系统 (PCS) 崩时间和石头疏散成功率.
主要成果:
- 猪的PCS在4-5秒 (9.2Fr) 和5-6秒 (7.5Fr) 之间崩.
- 通过两种范围大小,可以完全疏散2毫米碎片.
- 3毫米碎片的成功疏散因位置和范围大小而有所不同,在中间杯中成功率更高.
- 对较大的碎片观察到有限的成功,特别是在下方的玻璃杯.
结论:
- 新型一次性数字柔性尿道镜的DISS功能可以通过吸收有效地重新安置和疏散高达4毫米的石头碎片.
- PCS崩的速度是石头疏散成功的重要预测因素.
- 这项技术显示了在没有额外的工具的情况下进行碎片管理的潜力.
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