在柔性尿路透镜中使用或不使用包裹:一种随机对照试验
A M Tawfeek1, Mohamed Mostafa Elsayed Osman2, M Sherif Mourad1
1Urology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Arab journal of urology
|October 6, 2025
概括
使用带有灵活尿路透镜 (FURS) 的尿道接入 (UAS) 并没有改变无石头率或手术时间. 然而,UAS显著减少了手术后的并发症,如发烧和尿道.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学 在内分泌学.
- 最少侵入性的手术
背景情况:
- 柔性尿道透视 (FURS) 是一种常见的治疗上尿路结石的程序.
- 在FURS期间使用尿道接入罩 (UAS) 对其对结果的影响进行了辩论.
- 了解FURS中UAS的好处和风险对于优化患者护理至关重要.
研究的目的:
- 在柔性尿道透视 (FURS) 期间评估尿道接入罩 (UAS) 的有效性.
- 为了比较FURS与UAS之间的无石头率,手术持续时间和并发症率.
- 确定UAS对上部泌尿管和结石患者的手术内和术后结果的影响.
主要方法:
- 一项前性研究涉及120名患有症状的上尿路和结石的患者.
- 患者被随机分为两个组:没有UAS的FURS (A组) 和UAS的FURS (B组).
- 评估的结果包括无石头率,手术持续时间,住院时间和手术内/术后并发症.
主要成果:
- 没有观察到无石头率 (p=0.543),手术持续时间 (p=0.122),住院时间 (p=0.639) 或术后疼痛 (p=0.083) 的显著差异.
- 与B组 (带有UAS) (8.3%) (p<0.05) 相比,A组 (没有UAS) 的术后并发症发生率显著更高 (23.3%).
- 手术后的并发症主要是发烧和尿道,在没有UAS的组中更频繁地发生.
结论:
- 尿道接入罩 (UAS) 在FURS中不会显著影响无石头率,手术时间或住院时间.
- 在FURS中使用UAS与术后感染性并发症 (如发烧和尿道) 的显著减少有关.
- 在FURS期间可以安全地使用UAS,以潜在地降低术后发病率.
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