术内数字石测量对外科医生在尿路透镜内决策的影响
Alexander B C Krueger1, Drew Marie Smith2, Andrew T Parzych2
1Mayo Clinic Alix School of Medicine, Rochester, MN.
Urology
|June 29, 2025
概括
在尿路透镜检查期间测量石碎片的新软件成功引导了外科医生,在28%的病例中影响了决策. 这种工具有助于石头管理,并可能改善结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗技术 医疗技术 医学技术
- 手术创新 在外科创新.
背景情况:
- 灵活的尿路透镜与holmium激光光是常见的结石.
- 准确评估石块碎片大小对于有效治疗和预防并发症至关重要.
研究的目的:
- 为了评估一个新的软件,用于实时测量在尿路显微镜期间石块碎片.
- 确定该软件对外科医生的手术内决策的影响.
主要方法:
- 针对结石进行尿路透镜检查的成年患者的潜在招募.
- 使用新型软件实时进行手术内断片测量,向外科医生报告.
- 程序后调查,以评估测量原因及其对决策的影响.
主要成果:
- 软件在106个病例中成功使用;外科医生平均每例2.4次测量.
- 在28%的病例中,测量影响了手术内计划 (持续的石,提取或观察).
- 外科医生发现测量工具"非常有用" (61%) 或"有点有用" (38%),对效率的影响最小.
结论:
- 实时石头测量能力在28%的尿路透镜病例中显著改变了手术内管理.
- 数字测量工具可以提高程序效率并减少与碎片管理相关的风险.
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