"吸收概念":灵活的尿道镜应该具备的一切
Olivier Traxer1,2, Aideen Madden1,2, Mariela Corrales1,2
1Urology Service, AP-HP, Hopital Tenon, Assistance-Publique Hopitaux de Paris, Sorbonne Universite, Paris, France.
BJU international
|September 26, 2025
概括
理想的柔性尿道镜 (FU) 需要综合吸收,而不仅仅是作为支持工具. 这种概念增强了流体管理,包括灌,吸入和压力控制,以获得更好的内分泌结果.
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.
- 医疗设备创新 医疗设备创新
背景情况:
- 逆行性内外科手术的最新进展需要重新评估柔性尿路透镜 (FU) 的创新目标.
- 新的激光技术和吸收技术正在成为内分泌学创新的重点领域.
- 现有的柔性尿管望远镜 (FU) 和补充设备可能无法完全整合必要的吸收功能.
研究的目的:
- 为柔性尿道镜 (FU) 定义一个全面的"吸入概念".
- 评估当前的内分泌技术与拟议的"吸收概念"相比.
- 识别现有技术中关于集成流体管理的缺口.
主要方法:
- 通过PubMed和MEDLINE进行了尿管镜术中吸管和内压力装置的文献审查 (2010年11月 - 2024年11月).
- 开发了10个阶段的柔性尿道镜 (FU) 的"吸入概念".
- 质量分析了18篇选定的文章,产品宣传册和演示文稿,并将它们与开发的概念检查清单进行了比较.
主要成果:
- 文献搜索得出了329篇文章,其中18篇被选中进行分析.
- 审查的技术包括吸收尿道接入 (SUAS),灵活和可导航的SUAS (FANS),可引导的尿道透镜疏散 (SURE) 和直接在视野吸收 (DISS).
- 与"吸入概念"检查清单进行比较,发现吸入功能在当前设备中的整合程度各不相同.
结论:
- 吸管应该作为核心系统集成到柔性尿道镜 (FU) 中,而不仅仅是配件.
- 理想的FU需要解剖灵活性,易于访问和操纵,良好的视力和集成的能量系统.
- 在FU中最佳的流体管理包括灌,吸,压力控制,阻塞检测和自动解除阻塞.
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