下极解剖导向的刚性URS用于使用修改的GMSV位置的儿科石头
Kangjie He1, Jiaying Yang2, Lulu Jin3
1Urolithiasis Center, Affiliated Children's Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China; Zhejiang University School of Medicine, Hangzhou 310052, China.
Journal of pediatric urology
|December 30, 2025
概括
对于儿科下极石头来说,在修改后的仰卧姿势下进行刚性尿路透镜性石术是可行的. 这种技术提供了较短的手术时间和住院时间,与皮肤穿透性nephrolithotomy相比.
科学领域:
- 儿科泌尿外科 儿科泌尿外科
- 内分泌学是什么?内分泌学是什么
- 腎石病的管理方法
背景情况:
- 儿科下极结石存在管理方面的挑战.
- 对于儿科石头疾病,最好采用最少的侵入性手术选择.
研究的目的:
- 为了评估硬性尿路透镜光在修改的Galdakao-修改的卧卧Valdivia (GMSV) 位置对儿科下极结石的可行性.
- 评估内角 (IPA) 对外科手术结果的影响.
主要方法:
- 对55名儿童进行了在GMSV位置进行刚性尿路透镜的回顾性分析.
- 患者根据手术转换进行分类:成功的刚性尿路透镜,灵活的尿路透镜或迷你穿皮瘤切除术 (PCN).
- 术前的IPA被测量并与手术时间,住院时间,无石头率 (SFR) 和并发症相关联.
主要成果:
- 刚性尿路透镜显示,与迷你PCN相比,手术时间和住院时间显著缩短 (P < 0.05).
- 硬性和柔性尿路透镜组之间没有发现手术时间或住院时间的显著差异.
- 两周的SFR为85.7%的刚性尿路透镜,71.4%的柔性尿路透镜和55.0%的迷你PCN;6个月的SFR在所有组都超过了90%.
结论:
- 经过修改的GMSV位置,可为所选的儿科下极结石 (结石<2.0厘米,IPA>30°) 提供成功的刚性尿路透镜性石.
- 这种方法为小型PCN提供了不那么侵入性的替代方案,减少了手术时间和住院时间.
- 与柔性尿路透镜相比,在GMSV位置上的刚性尿路透镜显示了较低的前造率.
关键词:
在fundibulopelvic角度的内脏.下极脏结石 下极脏结石经过修改的GMSV.儿科 儿科 儿科刚性尿道显微镜 (Rigid ureteroscopy) 是一种利托三维显微镜 (lithotripsy).更多相关视频
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