软性真空辅助输尿管通路鞘与常规输尿管鞘联合一次性输尿管镜治疗肾结石的比较。

IF 2 2区 医学 Q2 UROLOGY & NEPHROLOGY
Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao
{"title":"软性真空辅助输尿管通路鞘与常规输尿管鞘联合一次性输尿管镜治疗肾结石的比较。","authors":"Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao","doi":"10.1007/s00240-025-01699-z","DOIUrl":null,"url":null,"abstract":"<p><p>To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.</p>","PeriodicalId":23411,"journal":{"name":"Urolithiasis","volume":"53 1","pages":"37"},"PeriodicalIF":2.0000,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846721/pdf/","citationCount":"0","resultStr":"{\"title\":\"Comparison of flexible vacuum-assisted ureteral access sheath versus conventional sheath combined with single-use flexible ureteroscope in the treatment of renal calculi.\",\"authors\":\"Ming Xu, Lu Jin, Dongrong Yang, Boxin Xue, Chuanyang Sun, Wei Tao\",\"doi\":\"10.1007/s00240-025-01699-z\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.</p>\",\"PeriodicalId\":23411,\"journal\":{\"name\":\"Urolithiasis\",\"volume\":\"53 1\",\"pages\":\"37\"},\"PeriodicalIF\":2.0000,\"publicationDate\":\"2025-02-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846721/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urolithiasis\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00240-025-01699-z\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urolithiasis","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00240-025-01699-z","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

目的评价软性真空辅助输尿管通路鞘联合一次性输尿管软性镜治疗肾结石的安全性和有效性。我们前瞻性分析2023年1月至2023年12月一次性输尿管软性镜治疗的患者,其中采用软性真空辅助输尿管通路套113例(FV-UAS组),采用常规输尿管套113例(常规输尿管套组)。收集两组患者术前、术后资料并记录。两组在人口统计学和术前临床特征方面无显著差异。FV-UAS组的手术时间(79.5±6.8 min)明显长于常规UAS组(65.2±7.3 min)。然而,FV-UAS组术后1天和1个月的结石无结石率(SFR)分别为85.6%和98.2%,明显高于常规UAS组(72.6%和90.3%)。感染、尿脓毒症等并发症在常规UAS组更为常见。值得注意的是,FV-UAS组的住院费用较低。软性真空辅助输尿管通路鞘联合软性一次性输尿管镜是治疗肾结石的一种可行、有效的方法。它具有较高的SFR和较低的感染并发症发生率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of flexible vacuum-assisted ureteral access sheath versus conventional sheath combined with single-use flexible ureteroscope in the treatment of renal calculi.

To evaluate the safety and efficacy of the flexible vacuum-assisted ureteral access sheath combined with the single-use flexible ureteroscopy in the treatment of renal calculi. We prospectively analyzed the patients treated with single-use flexible ureteroscopy from January 2023 to December 2023, among which 113 cases were treated with flexible vacuum-assisted ureteral access sheath (FV-UAS group) and 113 cases were treated with conventional sheath (conventional sheath group). Patient data ofthe two groups were collected and recorded before and after operation. No significant differences were observed between the two groups regarding demographics and pre-operative clinical characteristics. The duration of the operation was significantly longer in the FV-UAS group (79.5 ± 6.8 min) compared to the conventional UAS group (65.2 ± 7.3 min). However, the stone free rate (SFR) at one day and one month post-operation in the FV-UAS group was 85.6% and 98.2%, respectively, significantly higher than that in the conventional UAS group (72.6%, 90.3%). Complications such as infection and urosepsis were more common in conventional UAS group. Notably, hospitalization costs were lower in the FV-UAS group. Flexible vacuum-assisted ureteral access sheath combined with flexible single-use ureteroscope is a feasible and effective method for treating renal calculi. It offers higher SFR and lower rate of infectious complications.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Urolithiasis
Urolithiasis UROLOGY & NEPHROLOGY-
CiteScore
4.50
自引率
6.50%
发文量
74
期刊介绍: Official Journal of the International Urolithiasis Society The journal aims to publish original articles in the fields of clinical and experimental investigation only within the sphere of urolithiasis and its related areas of research. The journal covers all aspects of urolithiasis research including the diagnosis, epidemiology, pathogenesis, genetics, clinical biochemistry, open and non-invasive surgical intervention, nephrological investigation, chemistry and prophylaxis of the disorder. The Editor welcomes contributions on topics of interest to urologists, nephrologists, radiologists, clinical biochemists, epidemiologists, nutritionists, basic scientists and nurses working in that field. Contributions may be submitted as full-length articles or as rapid communications in the form of Letters to the Editor. Articles should be original and should contain important new findings from carefully conducted studies designed to produce statistically significant data. Please note that we no longer publish articles classified as Case Reports. Editorials and review articles may be published by invitation from the Editorial Board. All submissions are peer-reviewed. Through an electronic system for the submission and review of manuscripts, the Editor and Associate Editors aim to make publication accessible as quickly as possible to a large number of readers throughout the world.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信