在局部麻醉下对2-4厘米的结石进行柔性尿路透镜:FANS的性能优于传统的罩
1Department of Urology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Urolithiasis
|December 22, 2025
概括
灵活和可导航的吸管尿道接入罩 (FANS) 改善了大型结石的灵活尿路透镜石化术中无结石率. 这种方法还减少了手术后发烧和施斯特拉斯,与传统的相比.
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.
- 腎石病的管理方法
背景情况:
- 测量2至4厘米的结石会给治疗带来挑战.
- 灵活的尿道透视性石 (FURL) 是一种最少的侵入性选择.
- 优化FURL与新的访问外对于改善结果至关重要.
研究的目的:
- 与传统的尿管接入罩 (T-UAS) 相比,评估灵活和可导航的吸管尿管接入罩 (FANS) 的有效性和安全性.
- 评估FANS对非结石率和手术后并发症的影响,在接受FURL治疗的大型结石的患者中进行局部麻醉.
主要方法:
- 对372名用局部麻醉治疗的结石 (2-4厘米) 患者的临床数据的回顾性分析.
- 患者被分为两个组:FANS (n=187) 和T-UAS (n=185).
- 人口统计数据,术后指标,一次性无结石率 (SFR),术后发烧和steinstrasse发病率的比较.
主要成果:
- 与T-UAS组 (57.8%;P < 0.001) 相比,FANS组的一次性SFR (78.6%) 显著更高.
- 在FANS组 (2.1%) 和T-UAS组 (8.1%) 中,术后发烧率较低.
- 与T-UAS (5.9%) 相比,FANS (1.1%) 显著减少了施斯特拉斯的发生率.
结论:
- 在局部麻醉下,FANS增强了FURL治疗2-4厘米结石的疗效.
- 与T-UAS相比,FANS提供了一个更安全的替代方案,并没有太多的并发症.
- 在某些患有大型结石的患者中,FANS可能会为皮肤穿神经切除术 (PCNL) 提供可行的替代方案.
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