在腹腔镜修复中部和下部尿道狭窄的尿道透视辅助技术:一个回顾性比较研究
Wu Ronghua1, Yang Jianghua1, Yi Shanhong1
1Department of Urology, The Second Affiliated Hospital, Army Medical University, Chongqing, China.
SAGE open medicine
|January 28, 2026
概括
尿路透镜辅助局部化显著减少了腹腔镜尿路收缩修复的手术时间. 这种技术简化了双J支架的安置,提高了效率,而不会损害患者的安全.
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
- 手术技巧 手术技巧
背景情况:
- 在腹腔镜重建过程中,尿管狭窄的手术内定位和双J支架的放置至关重要.
- 对于这些程序的现有实际指导是有限的.
研究的目的:
- 引入和评估一种新的尿路透镜辅助方法,用于定位尿路狭窄,并在腹腔镜修复过程中放置双J支架.
- 确认这种新技术的安全性和有效性.
主要方法:
- 两组患者的回顾性比较,他们接受了中/下尿道收缩的腹腔镜重建.
- 控制组:传统的腹腔镜定位和托卡尔辅助导线/支架安置 (2010-2017年).
- 实验组:尿道镜辅助局部化和腹腔镜可视化 (2018-2023) 下的跨尿道导线/支架放置.
主要成果:
- 尿路透镜辅助显著减少了狭窄局部化时间 (138 ± 24 分钟与174 ± 12 分钟相比,p=0.02).
- 双J支架的安置时间也减少了尿路透镜的协助 (5.2 ± 0.6分钟对比9.8 ± 2.4分钟,p=0.01).
- 两组之间没有观察到估计的血液损失,排水持续时间,第一次浮的时间或支架错位率的显著差异.
结论:
- 尿路透镜辅助局部化和跨尿路支架安置提供了一种可行的方法,以简化尿路狭窄的腹腔镜重建.
- 这种方法可以减少操作时间,而不会影响安全.
- 建议进行进一步的前性研究来验证这些发现.
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