三方与100WHo:YAG激光用于迷你皮肤性利解剖中的石症:随机对照试验中的优越无石头率
Braulio O Manzo1, Edgard E Lozada Hernández2, Allan R Casale1
1Bajio's High Specialty Hospital IMSS Bienestar, Endourology Department, León, Guanajuato, México.
Urology
|April 10, 2025
概括
与100W的Ho:YAG激光相比,Trilogy石仪在Mini-PCNL中表现出更高的无石头率. 这种有效的石清除方法为最小侵入性手术提供了有价值的替代方案.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 脊髓石切除术 (nephrolithotomy) 是一个切除术.
背景情况:
- 迷你透皮瘤切除术 (Mini-PCNL) 是治疗结石的一个关键手术.
- 比较不同的石术技术对于优化石清除和患者的治疗结果至关重要.
研究的目的:
- 为了比较100WHo:YAG激光和Trilogy lithotripter在Mini-PCNL中的临床结果.
- 通过微型皮肤通道确定石头清除最有效的方法.
主要方法:
- 一个双盲,随机,单中心受控试验 (NCT04559321) 包括患有GUY 1-2级结石的患者.
- 参与者被随机分配到Mini-PCNL中,使用100W的Ho:YAG激光或1.5mm的Trilogy石.
- 主要终点包括石头石时间,石率和无石头率. 由于一只手臂的有效性,研究提前结束.
主要成果:
- 分析了83名患者;Trilogy实现了显著更高的无石头率 (88.4%与70%,P=.038).
- 平均石头石时间 (8.02比5.7分钟) 和石率 (179比212毫米3/分钟) 在两组之间没有显著差异.
- 并发症发生率低且可比 (2,3%三重法与10%激光,P=.142),其余石块体积没有显著差异.
结论:
- 与高功率激光石术相比,三极式石术在Mini-PCNL中提供了更高的石率.
- 三极管石器是石头清理的有效替代品,特别是在没有活跃吸收时.
- 该研究支持Trilogy在Mini-PCNL中的实用性,而不会增加操作时间或并发症.
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