柔性尿路透镜是否会影响功能?
Murad Asali1,2, Osman Hallak1, Galeb Asali3
1Urology Department, Barzilai University Medical Center, Ben Gurion University of the Negev, Beer Sheva, Israel.
Urologia
|June 27, 2025
概括
对于上尿路结石的灵活尿路透镜 (f-URS) 通常显示对功能的影响很小. 在f-URS之前和之后的动态脏扫描可以帮助识别可能发生变化的高风险患者.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗成像医学成像
背景情况:
- 柔性尿道透视 (f-URS) 是治疗上尿路结石 (UUTS) 的常见手术.
- 评估f-URS对功能的影响对于患者管理至关重要.
- 动态脏扫描,如DTPA或MAG3,提供有关脏的功能信息.
研究的目的:
- 为了评估柔性尿路透镜对功能的影响.
- 通过使用动态脏扫描,在术后识别功能差异的潜在变化.
主要方法:
- 在2010年4月至2024年3月期间,针对UUTS进行f-URS的101个脏单位的回顾性分析.
- 进行了手术前和后的动态脏扫描 (DTPA或MAG3),以评估功能差异.
- 根据功能变化对患者进行分类:恶化 (> 10%),改善 (> 10%) 或无影响 (≤ 10% 变化).
主要成果:
- 大多数患者 (94.1%) 在f-URS后的功能没有显著变化.
- 一小部分患者的差异性功能下降 (3%) 或改善 (3%) (>10%).
- 手术前的平均功能为47.3%,手术后为48%,表明稳定.
结论:
- 灵活的尿路透镜显示,在UUTS治疗中对整体功能的影响很小,甚至没有任何不良影响.
- 动态脏扫描可能对接受f-URS的某些患者的风险分层有益.
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