激光在内分泌学中的应用:内分泌切除术 (Endopyelotomy)
Mariela Corrales1, Stefano Moretto2, Christophe Almeras3
1Endolase Lab, GRC n(o) 20-Sorbonne Université, PIMM Lab Arts et Métiers ParisTech, 75020 Paris, France; Service d'Urologie, CHU Gabriel-Montpied, 58, rue Montalembert, BP 69, 63000 Clermont-Ferrand cedex, France.
The French journal of urology
|November 23, 2025
概括
逆行激光内皮切除术是一种有效的治疗尿管盆结阻塞 (UPJO). 虽然安全,但需要进一步的研究来确定这种微创手术的最佳激光源.
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
- 内分泌病学 在内分泌病学.
背景情况:
- 泌尿外皮交点阻塞 (UPJO) 导致水.
- 逆行内皮切除术为UPJO提供了一种最少的侵入性方法.
- 本综述详细介绍了逆行激光内皮切除术的技术,结果和并发症.
研究的目的:
- 审查逆行激光内皮切除术的技术.
- 评估与此程序相关的结果和并发症.
- 评估其作为UPJO治疗的疗效.
主要方法:
- 在2025年6月进行的综合文献综述.
- 在没有时间或语言限制的情况下搜索MEDLINE和Scopus数据库.
- 遵守PRISMA系统系统审查的指导方针.
主要成果:
- 使用荷尔:YAG激光器的整体成功率在44%至89% (平均77.2%) 之间.
- 平均随访时间为23.2个月;大多数并发症都是轻微的 (Clavien I级).
- 短期住院 (1-3天) 是典型的;在不同研究中,成功的定义有所不同.
结论:
- 逆行激光内皮切除术是一种安全有效的UPJO治疗方法.
- 它目前被认为是二线治疗选择.
- 包括图激光器在内的比较研究是必要的,以确定内皮切除术的最佳激光器.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
343
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...
343
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
526
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
526
Endoscopic Procedures V: ERCP
2.6K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.6K


