为了实现无石头状态而进行多次逆行性内手术的预测因素
Volkan Selmi1, Mehmet Caniklioglu1, Sercan Sari1
1Department of Urology, Faculty of Medicine, Yozgat Bozok University, Yozgat, Turkiye.
概括
下结石,水解和较大的结石量预测需要多次逆行性内手术 (RIRS) 治疗结石. 没有这些因素的患者在一次RIRS手术后更有可能达到无结石状态.
科学领域:
- 泌尿外科
- 肝脏病学
- 外科创新
背景情况:
- 结石或结石, 影响了人口的很大一部分.
- 逆行性内手术 (RIRS) 是对结石的一种最小侵入性治疗选择.
- 在RIRS之后实现无石头的地位是关键的结果措施.
研究的目的:
- 确定需要多次RIRS会议才能达到无石头状态的预测因素.
- 为了区分患者和石头特征与单个与多个RIRS干预相关.
- 改善RIRS患者的选择和治疗计划.
主要方法:
- 一项涉及487名接受结石RIRS治疗的患者的描述性研究.
- 患者被分为两组:单次RIRS治疗 (I组) 和多次RIRS治疗 (II组).
- 用物流回归分析来确定多次RIRS会议的预测因素.
主要成果:
- 石头位于下方的玻璃杯,存在水和较高的石头量是需要多次RIRS会议的显著预测因素 (p = 0.042,p = 0.018,p = 0.040).
- 患者的人口统计 (性别,年龄) 和其他石头特征 (密度,数量,大小,横向性,手术时间) 不具有预测性.
- 这些发现突出了潜在多疗程治疗需求的具体指标.
结论:
- 患有位于下方玻璃杯中的石头,水和大量石头的患者在单次RIRS治疗中不太可能达到无石头状态.
- 相反,没有这些指标的患者在一次RIRS手术后成功治疗的可能性更高.
- 这些因素可以指导临床决策,以预期有效治疗结石所需的RIRS治疗次数.
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