实验性的石头清理与范围内的吸收和灵活和可航行的吸收接入罩
Richard Menzies-Wilson1, Thijs Ruiken1, Benjamin Turney1
1Nuffield Department of Surgery, University of Oxford, Oxford, UK.
BJU international
|July 30, 2025
概括
直接在视野吸收 (DISS) 在激光石术期间清除小石块碎片 (<500微米). 灵活和可航行吸收 (FANS) 有效地清除最大2000微米的较大石头碎片,改善尿路透镜期间的石头清除.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 医疗器械 医疗器械
背景情况:
- 尿路结石的管理通常涉及碎片化和残留结石的清除.
- 直接在视镜中吸取 (DISS) 和灵活和可导航吸取 (FANS) 是在尿路镜检查过程中去除石块的新兴技术.
研究的目的:
- 为了评估DISS尿管镜和FANS尿管接入盖的石头清除效果,用于各种石头大小.
- 在基板实验中比较不同尿管镜工作通道大小和FANS的石头清除能力.
主要方法:
- 基板实验使用DISS尿管镜 (3.6-Ch和5.1-Ch) 和FANS尿管接入进行.
- 用来测试清除效果,使用了逐渐增加的大小 (高达2000微米) 的石头混合物.
- 通过各自的光线进行吸收,直到完全清除石头失败.
主要成果:
- 使用3.6-Ch工作通道的DISS可以清除高达250微米的石头.
- 使用5.1-Ch工作通道的DISS可以清除500微米的石头.
- 风扇成功地清除了所有测试的石头大小,直到2000微米.
结论:
- 在激光石术期间,DISS有效吸收细石灰尘 (<250微米),可能改善视力.
- 较大的石块碎片 (>250-500μm) 在使用DISS时可以阻碍尿道镜.
- 粉丝在清除较大的石块碎片方面表现出卓越的能力,可能有助于消除整体石块负担.
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