直接内射吸 (DISS) 尿道透视:技术,结果和未来的方向
Parth U Patel1, Michael Uy1, Casey Dauw1
1Department of Urology, Michigan Medicine, University of Michigan, Ann Arbor, MI, USA.
BJU international
|August 5, 2025
概括
直接在视野吸收 (DISS) 尿路透镜可提高手术期间的石头清除和可视化. 这种新兴技术显示出与标准方法相比的无结石率,持续的创新有望进一步改善泌尿器科结石治疗.
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.
- 手术技术 手术技术
背景情况:
- 尿路透镜石头手术在石头碎片管理,可视化和内压力控制方面面临着挑战.
- 传统的尿路透镜可能需要尿路接入 (UAS),并可能导致风险增加.
研究的目的:
- 审查一个新兴的技术,即直接吸入视野 (DISS) 尿路透镜.
- 评估其在尿路透镜石头手术期间改善石头清除,可视化和肠内压力管理的潜力.
主要方法:
- 叙事文学评论. 叙事文学评论. 叙事文学评论. 叙事文学评论.
- 纳入DISS尿路透镜系统的临床经验.
主要成果:
- DISS尿管镜为灌和吸提供单通道或双通道,使用不同的应用方法 (连续/间歇).
- 早期的数据表明,DISS提供了与标准尿路透镜可比的无结石率,而不会增加重大并发症,并可能减少无人机系统的需求.
- 设备的性能各不相同,在射程尺寸,灵活性,吸力和堵塞潜力方面存在权衡;较大的射程可能有偏移限制.
结论:
- 直接内射吸式尿路透镜是内泌尿学的一个进化,解决了标准技术的局限性.
- 需要进一步的高质量证据,但DISS系统的持续创新有望实现完整的石头清理.
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