在之前的尿路感染患者中,可选的灵活尿路透镜用吸收用于感染性石头
Angelo Cormio1,2, Daniele Castellani1,3, Steffi Kar Kei Yuen3,4
1Urology Unit Azienda Ospedaliero-Universitaria delle Marche Ancona Italy.
BJUI compass
|February 6, 2026
概括
灵活和可导航的吸尿道接入 (FANS) 为治疗上道感染性结石提供了安全有效的选择. 这种方法实现了高无结石率和改善功能,没有败血症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 传染性疾病 传染性疾病
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 上部通道感染性石头是一个重大的挑战,通常与全身性尿路感染 (UTI) 相关.
- 最初的管理通常涉及抗生素和排水,最终的石头处理随后.
研究的目的:
- 评估可选柔性尿道透视术的安全性,疗效和临床结果,使用柔性和可导航的吸管尿道接入 (FANS) 用于上通道感染性石头.
- 评估FANS技术对有尿路感染病史的患者术后并发症和石头清除的影响.
主要方法:
- 一项多中心前性分析包括144名患有传染性结石 (或碳酸-酸盐) 的患者,他们接受了FANS的柔性尿路透镜检查.
- 患者先前接受过尿路感染治疗,在石头治疗前至少有6周的时间间隔. 在30天后通过CT扫描评估了无结石率.
主要成果:
- 这项研究包括144名患者,其中32.6%的患者患有乳腺突炎. 获得了92.4%的无石头的总比率.
- 报告了零个败血症病例. 术后发烧发生在29.9%的患者身上,特别是那些患有肺炎的患者.
- 手术后,功能得到改善,肌素在3个月后的中位数下降.
结论:
- 选用FANS的可选柔性尿路透镜是一种可行且安全的选择,用于上部通道感染性石头,显示出出色的安全性和高无石头率.
- 在这个具有挑战性的患者群体中,FANS技术通过吸收碎片,减少骨静脉逆流,改善石块疏散来缓解术后败血症.
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