在灵活的尿路检查中,一种新的可曲的吸收用于结石
Jiyu Zhao1, Jiajing Wang1, Sheng Yang1
1Department of Urology, Chuiyangliu Hospital Affiliated to Tsinghua University, China.
The Journal of international medical research
|October 21, 2025
概括
一个新的一次性吸收盖与尿管镜相结合,改善了上泌尿道结石的短期无结石率. 然而,它可能会增加手术时间和出血风险,需要经验丰富的外科医生.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 医疗器械技术 医疗器械技术
背景情况:
- 上部泌尿道结石构成了重大的临床挑战.
- 灵活的尿路透镜是一种常见的治疗方式.
- 优化石头去除工具对于患者的治疗结果至关重要.
研究的目的:
- 为了评估一次性尿道镜使用的新型一次性可曲负压吸收的临床疗效和成本效益.
- 为了比较这种新方法与传统的尿管接入,用拉索网状篮子治疗上泌尿道结石.
主要方法:
- 对152名患上尿路结石的患者进行了回顾性分析,这些患者接受了柔性尿路透镜检查.
- 两组患者进行了比较:69名患者使用负压吸收,83名患者使用常规方法.
- 关键变量包括手术时间,无石头率,住院时间,并发症和成本.
主要成果:
- 负压组的手术时间更长 (119.8分 vs. 93.2分) 和术后血红蛋白下降率更高 (5.3g/L vs. 4.7g/L).
- 负压组的住院费用较低 (28,273日元与30,786.1日元).
- 负压组的1周无石头率显著高于负压组 (84.1%与68.7%),但在1个月后没有观察到差异.
结论:
- 一次性负压吸收可以改善短期无结石率.
- 这种技术可能会增加手术复杂性,手术时间和出血风险.
- 经验丰富的灵活尿路透镜外科医生被推用于最佳的安全性和有效性.
相关概念视频
01:25Urinary Tract Calculi VI: Surgical Management
372
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
372
01:28Urinary Tract Calculi V: Nursing Management
264
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
264
01:30Urinary Tract Calculi III: Medical Management
193
The diagnosis of renal calculi involves several imaging techniques, including non-contrast CT scans and ultrasound. These methods help visualize kidney stones, assess their size and location, and detect possible obstructions. Additionally, Measuring urine pH is useful for diagnosing specific stone types, such as struvite (alkaline pH) and uric acid stones (acidic pH). Cystine stones are primarily linked to cystinuria, a genetic condition. A urinalysis helps detect blood in the urine (hematuria)...
193
01:28Urinary Tract Calculi I: Introduction
392
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
392
01:28Urologic Endoscopic Procedure: Cystoscopic Examination
2.3K
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
2.3K
01:27Urinary Tract Calculi IV: Nutrition Therapy and Prevention
352
Management of renal calculi focuses on effective strategies like tailored nutrition and hydration therapy. Adjusting diet and fluid intake reduces stone formation and recurrence, making these interventions simple yet powerful in kidney stone prevention and management.Understanding Kidney StonesKidney stones form when calcium, oxalate, uric acid, and cystine concentrate and crystallize in urine. Factors contributing to their formation include genetic predisposition, certain medical conditions,...
352