智能压力控制的逆行性内手术:中国一家初级医院的经验
Xin Liu1, Wangsheng Huo2, Yanjun Wang2
1Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Zhengzhou, China.
BMC urology
|August 26, 2025
概括
与传统的RIRS相比,智能压力控制在逆行性内手术 (RIRS) 中显著改善了无结石率. 这种先进的技术提高了结果, 不增加手术时间或住院时间.
科学领域:
- 尿道病学
- 最少的入侵性手术
- 腎病的治療方法
背景情况:
- 传统的逆行性内手术 (RIRS) 是对结石的标准治疗方法.
- 优化RIRS结果,特别是无石头率 (SFR),仍然是一个活跃的研究领域.
- 智能压力控制为RIRS技术提供了潜在的进步.
研究的目的:
- 将传统的RIRS与智能压力控制的RIRS的临床结果进行比较.
- 在RIRS程序中确定影响无结石率 (SFR) 的关键因素.
主要方法:
- 在2023年9月至2024年9月期间接受RIRS的101名患者的回顾性审查.
- 传统RIRS与智能压力控制组之间的临床和石头相关参数的比较.
- 单变量和多变量逻辑回归分析以确定影响SFR的因素.
主要成果:
- 与常规RIRS (73.1%) 相比,智能压力控制RIRS (89. 8%) 的无石头率 (SFR) 显著更高 (p=0. 032).
- 在手术时间和手术后住院时间之间没有显著差异.
- 在智能血压对照组中,术后发烧的发病率较低 (2.0%对比9.8%),但不具有统计学意义 (p=0.205).
- 石块大小,密度,数量,位置和手术方法被确定为影响SFR的因素.
结论:
- 与传统的RIRS相比,具有智能压力控制的RIRS显著提高了无结石率.
- 智能压力控制RIRS不会增加并发症,住院时间或手术时间.
- 在RIRS程序中,石材大小和密度是影响SFR的关键因素.
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