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准确的访问:激光直接对齐的辐射减少技术Versus 传统的光镜脏访问

Zhamshid Okhunov¹, Alphie Rotinsulu¹, Ala'a Farkouh¹

¹Department of Urology, Loma Linda University Health, Loma Linda, California, USA.

Journal of endourology

|April 7, 2025

概括

新的激光直接对齐辐射减小技术 (DARRT) 显著减少光镜在皮肤穿透性瘤切除术 (PCNL) 的时间. 这种方法可以提高无石头率,而不会增加并发症,为患者提供更安全的替代方案.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
医疗成像医学成像
最少侵入性的手术

背景情况:

皮肤透神经切除术 (PCNL) 传统上严重依赖光镜,导致患者和工作人员的辐射暴露很大.
在PCNL中尽量减少光学时间对于减少与辐射相关的风险,同时保持程序有效性至关重要.
需要新的技术来提高PCNL程序的安全性和效率.

研究的目的:

为了评估PCNL的激光直接对齐辐射减少技术 (DARRT) 的安全性和有效性.
为了比较激光DARRT与传统的光PCNL接入,关于辐射暴露和结果.
评估激光DARRT对光镜时间,无结石率和并发症发生率的影响.

主要方法:

一项回顾性分析比较了292名接受PCNL的患者,使用激光DARRT或常规光镜访问.
排除标准包括先前存在的瘤切除管或超声波引导的单体接入.
主要结局:获取和总光学时间. 二次结果:相对无结石率 (SFR) 和并发症率.

主要成果:

激光DARRT显著减少了访问光镜时间 (10.8比551.7秒;p < 0.001) 和总光镜时间 (21.8比597.7秒;p < 0.001).
在激光DARRT组中,相对无结石率明显高于激光DARRT组 (84.1%对64.1%;p < 0.001).
在激光DARRT和常规组之间没有观察到并发症率的显著差异 (p > 0.05).

结论:

激光DARRT在PCNL期间实现了>95%的访问和总光学时间的减少.
该技术整合了光镜,超声波,内镜可视化和激光引导,以提高安全性和有效性.
激光DARRT是一种有前途的方法,可以改善PCNL的结果并最大限度地减少辐射暴露.

关键词:

光镜是指光镜.激光器是一种激光器.骨髓灰质炎是一种神经病.这是一种nephrolithotomy.通过皮肤通过皮肤.尿病是一种尿病.

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