在尿路结石治疗中,半刚性尿路透镜的并发症
Jigardeep Singh1, Vishwajeet Singh1, Satyanarayan Sankhwar1
1Urology, King George's Medical University, Lucknow, IND.
Cureus
|August 14, 2025
概括
尿路结石的半硬性尿路透镜 (URS) 是安全的,并发症率为19.4%. 较大的石头,近位位置和并发症增加了风险,需要对这种微创手术进行仔细的患者选择.
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
- 内分泌病学 在内分泌病学.
背景情况:
- 尿路透镜 (URS) 是用于尿路结石的标准最小侵入性内镜技术.
- 评估并发症和相关因素对于优化患者治疗结果至关重要.
研究的目的:
- 为了前性地报告和评分尿路结石半刚性URS的并发症.
- 确定导致手术内和手术后并发症的因素.
主要方法:
- 从160名接受半硬URS的患者收集前性数据.
- 使用Satava系统 (手术内) 和修改的Clavien-Dindo系统 (术后) 的并发症分类.
主要成果:
- 整体并发症率为19.4% (手术内9.4%,手术后10.6%).
- 最常见的外科手术并发症:无法达到石头 (3.8%).
- 最常见的术后并发症:发烧 (4.4%).
- 与增加并发症相关的因素:较大的石头大小,近邻石头位置和并发症.
结论:
- 半性尿路结石剂对于尿路结石是安全有效的,特别是在没有显著风险因素的患者中.
- 建议对较大的/靠近的石头和患有并发症的患者采取谨慎措施.
- 建议对多中心研究和外科医生经验进行进一步的研究.
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