Springerplus :前沿肾结石治疗新突破:纳秒电脉内窥镜碎石术

2013-11-01 孟秋君--编译 医学论坛网

一项最新的来自俄国西伯利亚国立医科大学泌尿外科的研究发现,纳秒电脉冲碎石术(NEPL)在技术层面上适用于所有肾结石,输尿管结石和膀胱结石患者。只需要十几次脉冲就可令结石碎解,同时只会有极少碎石发生微转移。在本项研究中的碎石率可达96%。执行整个过程所需时间为45±28分。【原文下载】 该研究选择了879位年龄在19-88岁之间患有肾结石,输尿管结石和膀胱结石患者。性别分布为:46.

一项最新的来自俄国西伯利亚国立医科大学泌尿外科的研究发现,纳秒电脉冲碎石术(NEPL)在技术层面上适用于所有肾结石,输尿管结石和膀胱结石患者。只需要十几次脉冲就可令结石碎解,同时只会有极少碎石发生微转移。在本项研究中的碎石率可达96%。执行整个过程所需时间为45±28分。【原文下载

该研究选择了879位年龄在19-88岁之间患有肾结石,输尿管结石和膀胱结石患者。性别分布为:46.3%女性,53.7%男性。前瞻性单臂研究在三个中心进行。研究目的是新型碎石方法的有效性和安全性。所有治疗均经尿道逆行完成。根据不同定位使用多种探头来进行碎石操作。每一治疗方案中均记录了辅助治疗与不良事件。最终由SPSS软件得出统计数据。

该种新治疗方法是基于将纳秒高压电脉冲通过多种灵活性探头转移给结石。结果显示纳秒电脉冲碎石术(NEPL)是一种新型,高效且安全的碎石治疗方法,可通过尿路逆行是灵活性多型号探头到达结石部位。术中并发症发生率并未超过其它碎石方法的不良事件发生率。

使用该方法治疗肾结石的益处多多:费用低廉,仅需要十几次脉冲就可有效碎石,同时其它机体组织完全安全,多型号探头可供选择且灵活的输尿管内镜可达到下极进行碎石治疗。

原文出处

Gudkov A, Boshchenko V, Petlin A, Afonin V, Diamant V, Lerner M.Retrograde endoscopic lithotripsy using the innovative nanosecond electropulse method.Springerplus. 2013 Oct 1【原文下载

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    2014-04-28 zxxiang
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    2014-08-01 mnda
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肾结石只在较小程度上增加患者后期患上较为严重肾脏问题的危险性,相关研究论文发表在British Medical Journal杂志上。 肾结石是一种常见的疾病,通常是可以预防的,但目前还不清楚肾结石与终末期肾病(俗称肾功能衰竭)及其他肾脏问题是否有关联。因此,加拿大和美国研究团队在着手调查是否肾结石引发肾功能衰竭或其他不良后果如增加慢性肾脏病的风险或提高血液中肌酐水平。他们追踪研究超过300万名