正常化能量利用对临床结果和内分泌结石手术并发症的影响:一项前性研究
Mert Başaranoğlu1, Oktay Kuş2, Mesut Tek1
1Department of Urology, Faculty of Medicine, Mersin University, Mersin, Turkey.
Urolithiasis
|October 30, 2025
概括
这项研究发现,在holmium:YAG激光光时使用超过25 J/mm3的正常能量显著增加了并发症风险. 监测正常化的能量可以指导手术决策,并改善内分泌石头手术的结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 内分泌学是什么?内分泌学是什么
- 手术技术 手术技术
背景情况:
- 肠道石头外科手术使用holmium:YAG激光光.
- 优化能源利用对于患者的治疗结果和最小化并发症至关重要.
- 规范化能量 (J/mm3) 提供了与石材负载相对的能源应用的标准化度量.
研究的目的:
- 评估正常化能量利用对内泌尿外科石头手术临床结果和并发症的影响.
- 建立基于证据的能量值,以确保安全和有效的激光石化术.
- 为了识别holmium期间并发症的独立风险因素:YAG激光光.
主要方法:
- 一项针对478名接受holmium:YAG激光光治疗的患者的前性研究.
- 记录石材特性,能量参数,操作结果和并发症.
- 计算正常化的能量 (总能量/石体积) 和ROC分析以确定并发症值.
主要成果:
- 确定25J/mm3的正常化能量值是预测并发症 (AUC=0.792) 的最佳值.
- 能量利用>25 J/mm3增加了4.25倍的并发症风险 (p<0.001).
- 石材密度高,操作时间长,能量正常化>25 J/mm3是并发症的独立风险因素.
结论:
- 规范化的能源监测提供了基于证据的安全激光光临术门.
- 使用正常化的能量值可以指导手术决策,以减少并发症.
- 确定能量值可以提高内泌尿石手术的安全性和有效性.
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