在接受内泌尿外科手术的患者中,将导线与瘤管一起移动
Tomer Bashi1,2, Adi Kidron1,2, Karin Lipshitz1,2
1Department of Urology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Journal of endourology
|February 7, 2026
概括
将导线沿着瘤管向前推进是一种可行的内分泌手术技术. 当手术在nephrostomy管放置后的1.3个月内进行时,成功率会提高,这表明管道成熟的好处.
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.
- 腎臟病學 (nephrology) 是一種醫學.
背景情况:
- 评估用于内分泌手术的新技术.
- 评估指导线沿着瘤管的推进情况.
研究的目的:
- 为了确定推进导线沿着瘤管的可行性和成功性.
- 将这种技术与传统的透管方法进行比较.
- 调查瘤切除术放置后时间对成功率的影响.
主要方法:
- 33名患有瘤切除管的患者接受了内泌尿外科手术.
- 在光学指导下,导线沿着瘤管向前推进.
- 通过导线到达盆或尿道来定义成功;与传统技术相比,结果.
主要成果:
- 在81.8%的案例中,并行技术成功.
- 传统方法有97%的成功率,但差异并不显著 (p=0.10).
- 同步方法实现了更高的尿路/膀接入率 (48.4%对12.1%,p=0.003);成功率随着时间的推移而增加 (最佳切断时间约为1.3个月).
结论:
- 导线通道沿着nephrostomy管是安全的,有效的,并可行的antegrade访问.
- 进行手术>1.3个月后nephrostomy放置与更高的成功相关.
- 成熟的片段似乎改善了这种技术的结果.
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