在逆行性内外科手术中,对尿道接入与吸入进行比较研究
Ting-Yi Chiang1, Kau-Han Lee2, Chia-Chih Hsieh1
1Division of Urology, Department of Surgery, Chi Mei Medical Center, No.901, Zhonghua Rd. Yongkang Dist., Tainan, 71004 , Taiwan.
BMC urology
|December 19, 2025
概括
吸管尿管接入罩 (S-UAS) 提高了即时无石头率,并减少了逆行性内手术 (RIRS) 中的辅助程序. 这种最少的侵入性技术增强了石块的去除能力,比传统的尿道接入 (UAS) 有潜在的优势.
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
- 腎石病的管理方法
背景情况:
- 逆行性内手术 (RIRS) 是对脏和上尿路结石的关键技术.
- 尿道接入 (UAS) 有助于RIRS,但它们对无结石率 (SFR) 的影响仍有争议.
- 吸管尿管接入 (S-UAS) 提供了增强的灵活性和石头去除能力.
研究的目的:
- 在RIRS程序中比较传统UAS与S-UAS的疗效.
- 评估S-UAS对无石头率,操作参数和并发症的影响.
- 评估石材特性对不同UAS类型的RIRS结果的影响.
主要方法:
- 对104名接受RIRS的患者进行了回顾性队列研究.
- 传统UAS (n=53) 和S-UAS (n=51) 组之间的比较.
- 分析基线特征,操作时间,SFR,并发症和辅助程序.
主要成果:
- 在S-UAS组中,立即SFR显著增加 (82.0%与60.4%,p=0.016).
- S-UAS组需要的辅助手术较少 (5.9%与22.6%,p=0.015) 和较高的SFR下方玻璃杯石头.
- 手术时间,住院时间和并发症率在各组之间相似.
结论:
- S-UAS增强了即时的SFR,并减少了RIRS中的辅助程序的需要.
- 该设备有助于有效的石块疏散,而不会增加并发症.
- S-UAS显示出有前途的结果,特别是在特定的石材负载方面;建议进行进一步的前性研究.
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