穿皮切除术的全球差异:基于培训,经验和地区的评估
Kavita Gupta1,2, Ziv Savin3, Dara Lundon3
1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY, USA. kgoopt@gmail.com.
World journal of urology
|September 1, 2025
概括
穿皮瘤切除 (PCNL) 的做法因地区和经验而在全球范围内有所不同. 虽然像无管PCNL这样的创新正在增加,但像超声波接入等一些技术的采用仍然缓慢,凸显了护理方面的差异.
科学领域:
- 尿道病学
- 最少的入侵性手术
- 医疗技术的采用
背景情况:
- 通过皮肤进行瘤切除 (PCNL) 已经出现了旨在减少侵袭性的创新.
- 这些PCNL进步的全球采用率尚不清楚.
- 区域和教育差异可能会影响新PCNL技术的采用.
研究的目的:
- 调查近期皮切除术 (PCNL) 的全球采用情况.
- 比较地理区域和专业教育对PCNL实践模式的影响.
- 在全球不同地区识别PCNL技术和技术使用的差异.
主要方法:
- 一项匿名32项调查通过Endourological Society的Twitter/X账号在全球范围内进行.
- 收集的数据包括参与者的地理位置,PCNL的数量,奖学金培训以及PCNL的具体实践.
- 用于比较分析的描述性统计和奇平方/费舍尔的精确测试.
主要成果:
- 160名PCNL提供者回应,显示麻醉的区域差异 (亚洲的脊柱) 和位置 (欧洲的仰卧).
- 在不同地区 (亚洲和北美/欧洲) 的能源偏好不同.
- 大量提供者和经验丰富的外科医生更有可能使用小型PCNL技术;术后成像因地区和培训而异.
结论:
- 全球PCNL实践存在显著差异,受区域,经济和经验因素的影响.
- 显而易见的转变是仰卧 (41%) 和无管PCNL (> 50%).
- 对超声波的广泛采用仍然有限 (73%使用光学),这表明需要进一步的研究和标准化.
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