在24个月以下的婴儿中,超声导向和光学导向的冲击波石术的比较
Metin Savun1, Ufuk Caglar2, Ali Ayranci2
1Department of Urology, University of Health Sciences, Basaksehir Cam and Sakura City Hospital, 34480, Istanbul, Türkiye. metinsavun@hotmail.com.
International urology and nephrology
|June 16, 2025
概括
超声波 (美国) 引导的体外冲击波石 (SWL) 和光学 (FL) 引导的SWL对婴儿结石具有相似的有效性和安全性. 由于缺乏辐射暴露,美国导向的SWL是可取的,这使其成为婴儿更安全的选择.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 医疗成像医学成像
- 腎石病的治療方法
背景情况:
- 婴儿尿病是一种罕见但显著的疾病.
- 身体外冲击波石 (SWL) 是对结石的常见治疗方法.
- 图像指导对于SWL程序至关重要.
研究的目的:
- 在婴儿中,比较超声波 (US) 引导的SWL与光镜 (FL) 引导的SWL的疗效和安全性.
- 为了评估两种成像方式之间的无石头率,并发症和再治疗需求.
主要方法:
- 用SWL治疗的婴儿 (<24个月) 病历的回顾性分析.
- 排除患有特定疾病的患者,如非不透明的结石或尿路异常.
- 人口统计数据,石头特征,无石头率,并发症和美国指导和FL指导组之间的再处理的比较.
主要成果:
- 137名婴儿接受了SWL (106名美国指导,31名FL指导).
- 观察到类似的无石头率 (91.5%美国 vs 90.3%法兰克福) 和并发症率 (4.2%美国 vs 6.5%法兰克福).
- 疗效系数和重复治疗率在两组之间是可比的.
结论:
- 美国和FL指导的SWL在治疗婴儿结石时表现出类似的疗效和安全性.
- 美国指导的SWL提供了无辐射的替代方案,提高了这类儿科患者的安全性.
- 这项研究是首次在仅为婴儿的队列中进行直接比较,支持美国指导的SWL的好处.
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