尿路透镜对单独脏功能的影响:系统性审查
Charles Jaouen1,2,3,4, Olivier Traxer1,2,4,5,6, Stefano Moretto1,2,4,5,7
1Groupe de Recherche Clinique sur la Lithiase Urinaire, Sorbonne University, Endolase-GRC n°20, Paris, 75020, France.
World journal of urology
|June 23, 2025
概括
尿路透镜对于单独的脏患者来说是安全的,在术后功能稳定. 虽然短期数据是有希望的,但需要更多的研究来长期验证.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 外科手术的结果
背景情况:
- 孤独性 (SK) 患者需要脏保存.
- 尿路透镜越来越多地用于SK患者的石头治疗.
- 评估尿路透镜对SK功能的影响至关重要.
研究的目的:
- 评估尿路透镜对单独脏患者功能的影响.
- 确定SK患者尿路透镜的安全性和有效性.
- 在SK进行尿路透镜检查后确定功能恶化的风险.
主要方法:
- 系统性文献审查 (PRISMA指导方针) 截至2024年5月.
- 包括对SK患者尿透镜的研究,其中包括具有功能结果的患者.
- 使用标准化协议分析了eGFR,血清肌素,AKI和并发症.
主要成果:
- 15项研究 (615名患者) 在67%的尿路透镜后显示稳定的功能.
- 没有明显的急性损伤 (AKI) 超过一个月.
- 并发症大多是轻微的 (22%),严重的并发症很少见.
结论:
- 尿路透镜是孤独患者的可行和安全的治疗方法.
- 观察到长期功能下降的最小风险.
- 需要进一步进行标准化,长期的研究.
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