灵活的吸入尖端尿管接入盖与灵活的尿管镜相结合:一个单一机构的经验,包括体外实验
Tao Wang1,2,3,4, Jielong Zhou1,2,3,4, Xinyu Zhai1,2,3,4
1Department of Urology, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
BMC urology
|September 26, 2025
概括
灵活的尖端吸收尿道接入 (TFS-UAS) 提高了手术效率和更大的上部泌尿道结石的无结石率. 这种柔性在治疗复杂结石和尿路结石方面具有临床优势.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌病学 在内分泌病学.
- 腎石病的管理方法
背景情况:
- 尿道接入 (UAS) 在尿道透视手术中对于治疗脏和尿道结石至关重要.
- 传统的尿道接入 (T-UAS) 在导航复杂解剖和管理大型结石方面存在局限性.
- 灵活的尖端吸尿道接入 (TFS-UAS) 是为了潜在地克服这些限制而开发的.
研究的目的:
- 为了比较TFS-UAS与T-UAS的临床疗效和安全性,在接受灵活尿路透镜术 (FURS) 和单侧或近端尿路结石的霍尔激光石术的患者中.
- 根据石材特性和手术结果,确定TFS-UAS的最佳使用策略.
主要方法:
- 对196名接受FURS和holmium激光光治疗的患者进行了回顾性分析.
- 患者被分为两组:接受TFS-UAS治疗的患者和接受T-UAS治疗的患者.
- 关键指标包括手术时间,即时无结石率 (iSFR),两周无结石率 (SFR),血液参数,并发症和住院.
主要成果:
- 与T-UAS相比,泌尿科医生优先选择TFS-UAS用于较大,更硬,更复杂的上部泌尿道结石.
- 两组之间没有观察到操作时间或SFR的重大总体差异.
- 与T-UAS相比,对于≥15毫米的石头,TFS-UAS显著减少了操作时间,并改善了iSFR和2周的SFR.
结论:
- 与FURS相结合的TFS-UAS显示,在15毫米以上的上尿路结石中,操作效率和无结石率显著提高.
- 该研究强调了TFS-UAS在管理更大,更复杂的脏和近端尿路结石方面的临床优势.
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