在结石柔性尿道镜检查过程中吸取尿道接入膜:前性研究和成本分析
Fraser Barbour1, Sidney D Parker1, Jenny Koo Ng1
1Urology, Sunderland Royal Hospital, Sunderland, GBR.
Cureus
|December 9, 2025
概括
柔性尿道透视 (fURS) 中的吸管尿道接入 (S-UAS) 显著降低了治疗结石的篮子使用和相关成本. 然而,与传统无人机相比,S-UAS在石头清除,重新干预或并发症率上没有显著差异.
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.
- 医疗器械 医疗器械
背景情况:
- 柔性尿道透镜 (fURS) 使用尿道接入 (UAS) 来保护仪器并管理内脏压力.
- 吸入式无人机 (S-UAS) 正在出现,声称其改善了石头清除,更大的石头处理能力,压力降低和成本节省.
- 本研究将S-UAS和传统UAS (T-UAS) 在fURS程序中的结果和成本进行比较.
研究的目的:
- 为了比较fURS使用S-UAS与T-UAS治疗结石的临床结果.
- 评估与使用S-UASs相关的潜在成本节约.
- 评估两种类型的无人机系统之间的石头清除,再干预率和并发症的差异.
主要方法:
- 一项前性单中心研究,将使用S-UAS的50例fURS病例与使用T-UAS治疗成人石头疾病的50例历史病例进行比较.
- 收集的数据包括石材特性,操作时间,仪器使用 (篮子),石材清除,重新干预和并发症.
- 统计分析使用了费舍尔的精确测试,奇平方测试和曼-惠特尼U测试,p值<0.05被认为是显著的.
主要成果:
- 在S-UAS组中,观察到使用篮子的数量显著减少 (p < 0.001),这导致每次手术估计节省了115英的成本 (在50个案例中为5,750英).
- 在S-UAS和T-UAS组之间,在3-6个月的无石头率,再干预率或并发症率方面没有发现统计学上显著的差异 (p > 0.05).
- 在S-UAS组中,中位操作时间略长,但这没有达到统计学意义 (p = 0.099).
结论:
- 对于结石的fURS中S-UAS的使用导致了篮子使用的显著减少和相关的成本节省.
- 临床疗效,包括石头清除率和并发症率,在S-UAS和T-UAS之间似乎是可比的.
- 建议通过大型随机对照试验进行进一步调查,以最终评估S-UAS的有效性,特别是关于再干预率.
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