在逆行性内外科手术中重复使用一次性尿管镜:一个新的概念出现了吗?
Horacio Sanguinetti1,2,3, Juan Guillermo Ruiz1, Maximiliano Lopez Silva1,2,3
1Department of Urology, Hospital de Clinicas José de San Martin, Argentina.
概括
对于逆行性内手术 (RIRS) 来说,重新处理一次性尿管镜是安全有效的. 这项研究发现,在将脏石治疗的新器械与再加工的器械进行比较时,无结石率或并发症没有显著差异.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 医疗设备再加工 医疗设备再加工
背景情况:
- 逆行性内手术 (RIRS) 是治疗结石的常见手术.
- 单次使用的尿路透镜是标准的,但它们的高成本需要探索再加工选项.
- 评估重新加工的一次性尿路透镜的安全性和有效性对于具有成本效益的患者护理至关重要.
研究的目的:
- 为了在RIRS中比较新型和再加工的一次性尿道镜之间的无石率 (SFR) 和手术后并发症.
- 评估尿道镜再处理对手术结果和患者安全的影响.
- 为了确定是否再加工一次性尿路透镜会影响视觉清晰度或仪器偏移.
主要方法:
- 一项前性,观察性,多中心研究,涉及77名接受RIRS的患者.
- 患者被分为两组:一组使用新的一次性尿管镜,另一组使用重新加工的尿管镜.
- 分析包括石块大小,位置,SFR,术后并发症,以及外科医生报告的视力和偏移.
主要成果:
- 在新的和重新加工的尿管镜之间,SFR (71.4%vs. 73.2%) 或术后尿路感染 (9.5%vs. 16%) 没有显著差异.
- 在新的尿道镜组中,平均石块大小略大 (10.9毫米对比8.6毫米).
- 外科医生报告说,两组之间视力或偏移没有差异.
结论:
- 为RIRS重新处理一次性尿路透镜不会影响无结石率或增加感染风险.
- 使用再加工的仪器似乎不会影响RIRS的有效性和安全性.
- 再处理提供了一个潜在的成本效益的替代方案,用于单次使用的尿路透镜在管理脏质病.
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