用同步内分泌学方法单次切除嵌层双J支架:一系列病例
Zoltán Kiss1, Gyula Drabik1, Mihály Murányi1
1Department of Urology, University of Debrecen, Debrecen, Hungary.
Medicine
|December 10, 2025
概括
这项研究表明,一种新的结合前级和后级方法是安全有效的,用于去除嵌层双J (DJ) 支架. 这种微创手术技术在一次会议中有效清除支架,为这种泌尿病并发症提供了可行的解决方案.
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
- 最少侵入性的手术
背景情况:
- 双J (DJ) 支架内是一种严重的泌尿症并发症,需要复杂的手术干预.
- 现有的嵌DJ支架的处理方法可能是侵入性的,并带有相当大的风险.
- 需要一种新的方法来安全有效地管理嵌入的DJ支架.
研究的目的:
- 评估一种新的综合前级和逆级内泌尿学方法的可行性,安全性和有效性,用于去除嵌层DJ支架.
- 为了评估结局,并发症率,和石头免费状态后,这个联合程序.
主要方法:
- 在2020年5月至2025年4月期间,对12名用嵌层DJ支架治疗的患者进行了回顾性分析.
- 所有患者都在卧卧姿势下同时接受了前进和后退的内泌尿外科手术.
- 使用尿道状支架分类系统评估了手术复杂性;记录了结果和并发症.
主要成果:
- 这种综合方法在所有12名患者中都成功实施,在一次会议内实现了无支架状态.
- 平均手术时间为72.92分钟,在11名患者中进行了无管穿皮神经瘤切除术.
- 只有一个患者出现了轻微的并发症 (Clavien-Dindo II级);没有观察到重大并发症,血红蛋白降低在临床上是可以忽略不计的.
结论:
- 同时结合的前级和逆级内泌尿系统方法是可行的,安全和有效的方法来去除嵌层的DJ支架.
- 这种由两个外科医生同时采取的方法是有效的,减少了手术时间和潜在的医疗负担.
- 建议进行进一步的前性研究,以验证这些发现并扩大临床适用性.
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