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术前电 ?? 疗法在尿路病的第一阶段柔性尿路透镜期间用于尿路接入外套的有效性:一个多中心,随机,单盲,假控制试验协议
Shaoting Wang1,2,3,4, Dexin Song1,2,3,4, Xiangyang Zhan1,2,3,4
1Urology Center, Shuguang Hospital, Shanghai University of Traditional Chinese Medicine, 528 Zhangheng Road, Pudong, Shanghai, 201203, China.
BMC urology
|December 9, 2025
概括
手术前的电可以提高成功率,并在逆行性内手术 (RIRS) 期间减少尿路损伤. 这项试验调查了EA的研究.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传统中国医药 传统中国医药
- 手术创新 在外科创新.
背景情况:
- 逆行性内手术 (RIRS) 是尿病的关键治疗方法.
- 成功放置尿管接入 (UAS) 对RIRS疗效至关重要.
- 电针 (EA) 正在被探索作为RIRS的辅助.
研究的目的:
- 评估术前EA作为第一阶段RIRS的辅助剂的疗效和安全性.
- 为了确定EA是否提高UAS安置成功,并减少尿道损伤.
- 评估EA对石头清除率和手术结果的影响.
主要方法:
- 多中心,随机,单盲,假控制试验.
- 120名患有上部尿路或结石 (≥10毫米) 的成年患者接受RIRS.
- 随机分配到手术前EA或假EA以及全身麻醉.
主要成果:
- 主要结局:成功安置UAS的患者比例.
- 二次结果:手术持续时间,UAS插入阻力,尿道损伤 (PULS),石头清除和不良事件.
- 将使用治疗意向分析.
结论:
- 这是第一个对EA进行评估的RCT,以改善UAS在RIRS中的配置.
- 这些发现可能支持EA作为尿病治疗的辅助疗法.
- 需要进一步的试验来验证EA在尿病管理中的作用.
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