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在迷你内镜联合内外科手术中,上穿刺的优势:一个回顾性比较分析

Hisakazu Odaka¹, Mitsuru Komeya², Takahiko Watanabe¹

¹Department of Urology, Yokohama City University Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama City, Kanagawa, 236-0004, Japan.

World journal of urology

|December 4, 2025

概括

在迷你内镜联合内手术 (迷你ECIRS) 期间的上穿刺 (UCP) 对较大的结石具有优势. 这种技术减少了手术时间和尿管支架的需要,改善了患者的舒适度,而不会增加并发症.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
内分泌病学在内分泌病学.
最少侵入性的手术

背景情况:

结石对健康造成重大负担,需要有效的手术干预.
最少侵入性的内镜联合内手术 (mini-ECIRS) 是一种常见的治疗方式.
最佳的接入途径,例如上口腔穿刺 (UCP),需要进一步评估其临床影响.

研究的目的:

评估结石进行小型内镜联合内外科手术 (迷你ECIRS) 的患者的上穿刺 (UCP) 相关的临床益处和风险.

主要方法:

在2015年至2020年期间,对331名患者进行单通道迷你ECIRS的回顾性分析.
在UCP组 (n=169) 和非UCP组 (n=162) 之间的临床结果的比较.
评估的结果包括无石头率 (SFR),并发症 (Clavien-Dindo),手术时间,光镜时间,住院和术后排水.

主要成果:

该UCP组提出了更大的石头直径,负载,石头表面积 (SSA) 和体积.
基于计算机断层扫描的无结石率 (SFR) 或Clavien-Dindo并发症在两组之间没有显著差异.
UCP组的手术时间 (95.0分 vs 106.5分) 和光镜时间 (1.1分 vs 1.9分) 显著缩短.
尿道支架与术后尿道支架 (37.3%与56.8%) 的需求减少有关,这可能会提高门诊患者的舒适度.

结论:

在迷你ECIRS中进行上口腔穿刺 (UCP) 可以改善手术内可见性,并减少手术和光镜时间.
术后治疗是安全有效的,即使对于较大的结石负担,也没有增加术后并发症.
该技术提供了手术优势,并可以通过尽量减少尿路支架,改善术后患者的舒适度.

关键词:

埃齐尔斯 (ECIRS) 是一个非常重要的机构.内镜联合内外科手术-上极接入迷你ECIRS是什么意思肋骨上部的刺穿是什么意思乌罗石质病是一种质病.

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