"持枪"手术姿势与灵活尿路透镜中的常规手术姿势:一项前性随机研究
Xiaomin Gao1,2, Chaoyue Lu3, Qing Chen4,5
1Department of Urology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, 325006, P.R. China.
World journal of urology
|September 26, 2025
概括
在逆行性内外科手术 (RIRS) 中,新的"持枪"姿势显著改善了外科医生的人体工程学,并减少了患者的康复时间. 这种安全高效的技术增强了执行RIRS的泌尿科医生的身体健康.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
- 人体工程学就是人体工程学.
背景情况:
- 反向内外科手术 (RIRS) 的人体工程学方面还没有得到充分的研究.
- 肌肉骨应变和程序效率是外科医生关心的关键问题.
- 提出了一种新的"持枪"姿势,以提高外科医生的福祉和职业寿命.
研究的目的:
- 在RIRS中评估一种新的"持枪"外科手术姿势对人体工程学的好处.
- 为了比较"持枪"姿势与关于外科医生应变和患者结果的传统技术.
- 评估新姿势的可行性,效率和安全性.
主要方法:
- 对60名接受RIRS治疗的患者进行前性随机研究.
- 患者被分为两组:"持枪"姿势 (A组) 和常规姿势 (B组).
- 分析包括患者人口统计学,临床结果,人体工程学评估和扭矩分析.
主要成果:
- "持枪"姿势组 (A) 的人体工程学得分明显更好 (16.1比22.4,P=0.001).
- 甲组患者住院时间较短 (1.7 vs 2.9 天,P=0.003).
- 虽然A组的手术时间较短,但差异在统计学上并不显著 (P=0.139);无石头率和并发症相似.
结论:
- "持枪"外科姿势是RIRS的可行和有效的替代方案.
- 这种姿势为外科医生提供了实质性的人体工程学优势.
- 该技术是安全和高效的,有可能提高RIRS手术中外科医生的可持续性.
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