尿路管PyeloVisClear导管:在尿路石的尿路透镜石术的新前沿
Chen Yang1, Huang Haiwen1, Zeng Xue1
1Department of Urology, Beijing Tsinghua Changgung Hospital, School of Clinical Medine, Tsinghua University, Beijing, 102218, China.
Urolithiasis
|May 24, 2025
概括
一个新的尿路皮质视清导管 (VCC) 显著减少了尿道结石的手术时间和仪器使用. 这种新的设备提供了一个安全有效的替代传统尿路透镜,实现了优秀的无石头率.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 医疗器械 医疗器械
背景情况:
- 对于尿道结石,传统的半刚性尿道显微镜提出了诸多挑战,包括石头反推力,有限的手术视力和增加的内压力.
- 这些局限性可能会影响手术效率和患者的治疗结果.
研究的目的:
- 评估一种新的多通道负压吸管导管的安全性和有效性,即尿路皮质视粘清导管 (UreteroPyeloVisClear Catheter,VCC),用于尿路透镜性石.
- 为了比较VCC的性能与传统的半固体尿路透镜在操作时间,石头清除和并发症率方面.
主要方法:
- 一项前性队列研究涉及42名尿道结石 (≤2.0厘米) 的患者,随机分为两组:VCC (n=21) 和传统的半硬性尿道透视 (n=21).
- VCC组使用了一种集成的负压吸水和活性水循环系统.
- 主要结局是手术时间;次要结局包括石头清除,反推,篮子使用和并发症.
主要成果:
- 与传统组 (53.00 ± 26.95 分钟,p=0.001) 相比,VCC 组的操作时间显著缩短 (39.95 ± 10.24 分钟).
- 在VCC组中,篮子利用率明显降低 (5%对57%,p<0.001).
- 这两组在1个月后都实现了100%的无石头率,手术后疼痛或并发症率没有显著差异.
结论:
- 尿路皮质视清导管 (VCC) 显著减少了操作时间和对尿道结石管理的辅助仪器的依赖.
- 该VCC系统保持了安全性,并实现了高无结石率,解决了传统尿路透镜的关键局限性.
- 这种新型装置代表了尿管结石治疗的有前途的进步.
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