经济学,人体工程学,有效性:在具有挑战性的结石病例中,单次使用与可重复使用的灵活尿道镜的单心比较
Tomasz Ozimek1,2, Karsten Günzel1, Natasza Galuszka-Ozimek2
1Klinik für Urologie, Vivantes Klinikum Am Urban, Berlin, Deutschland.
Aktuelle Urologie
|August 6, 2025
概括
单次使用的柔性尿道镜 (sufURS) 和可重复使用的柔性尿道镜 (rfURS) 在具有挑战性的结石病例中显示出相似的临床结果. 虽然外科医生更喜欢使用sufURS来访问下,护士更容易处理它们,但没有明显的财务优势.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 医疗器械技术 医疗器械技术
背景情况:
- 越来越多地采用使用一次性灵活尿道镜 (sufURS) 和可重复使用的灵活尿道镜 (rfURS) 的混合策略.
- 这些策略旨在提高可重复使用的柔性尿道镜的寿命和效率.
- 对这些技术进行比较分析对于临床和经济决策至关重要.
研究的目的:
- 为了追溯比较sufURS与rfURS的临床性能,人体工程学和财务影响.
- 为了评估两种尿管镜类型在具有挑战性的结石病例中的适用性.
- 评估外科医生和护士对可用性和处理性的反.
主要方法:
- 对29个sufURS (Pusen PU3022A) 和25个rfURS (Olympus URF-V3) 程序进行了回顾性比较.
- 选择标准包括需要激光石术的结石病和的膜角 (<50°).
- 术后调查评估了临床结果,人体工程学和外科医生/护士的反;进行了成本分析.
主要成果:
- 在无石头率,手术时间或并发症率方面没有发现统计学意义上的差异 (Clavien-Dindo ≥ 2).
- 外科医生报告说,使用sufURS,下的进入显著改善.
- 助理护士发现sufURS更容易组装和拆卸;每个病例的成本是可比的 (sufURS的749欧元与rfURS的791欧元).
结论:
- 无论是sufURS还是rfURS,都在治疗具有挑战性的腎病方面表现出相似的临床疗效.
- sufURS在特定的处理和访问方面提供了人体工程学的优势.
- 在本比较研究中,使用sufURS而不是传统rfURS没有明显的财务优势.
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