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首页> 外文期刊>Archivio Italiano di Urologia e Andrologia >Comparison of the efficiency, safety and pain scores of holmium laser devices working with 20 watt and 30 watt using in retrograde intrarenal surgery: One center prospective study
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Comparison of the efficiency, safety and pain scores of holmium laser devices working with 20 watt and 30 watt using in retrograde intrarenal surgery: One center prospective study

机译：钬激光器件的效率，安全性和疼痛评分与逆行intrarenal手术中使用20瓦和30瓦特的富钬激光装置：一个中心前瞻性研究

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Objectives: Holmium:Yttrium Aluminum Garnet laser lithotripsy is used in Retrograde Intrarenal Surgery. Fragmentation is made with a certain value of pulse energy (Joule) and frequency (Hertz) in Holmium laser lithotripsy and the multiplication of these values gives us total power (Watt). Devices with maximum power of 20 Watt and 30 Watt are used in clinical practice. We want to compare the efficiency, safety and pain scores of the lithotripsy made below 20 Watt and over 30 Watt with 30 Watt laser device. Materials and methods: 60 patients who had 2-3 cm sized kidney stones and operation planned were prospectively divided into three groups. Groups were random identified. In the first group, fragmentation was performed below 20 Watt power with 20 Watt laser device. In the second group, fragmentation was performed below 20 Watt power with 30 Watt laser device. In the third group, fragmentation was performed over 20 Watt power with 30 Watt laser device. Demographic, stone, intraoperative and postoperative data were recorded. We compared these groups regarding efficiency, safety and pain score.Results: For demographic and stone data, there was a statistically significant difference only for stone number. For intraoperative and postoperative data, there was a statistically significant difference only for ureteral access sheath usage between the groups. Success was lower than the other groups in Group 1.Conclusions: Success was higher in groups using 30 Watt laser device. There was not statistically significantly difference between complications and pain. 30 Watt laser device is safe and efficient in Retrograde Intrarenal Surgery.
机译：目的：钬：钇铝石榴石激光碎石术用于逆行患有肾内手术。在钬激光碎石术中的脉冲能量（焦耳）和频率（赫兹）的一定值进行碎片化，并且这些值的乘法使我们提供总功率（瓦特）。最大功率为20瓦和30瓦的设备用于临床实践。我们希望比较碎石尺寸的效率，安全性和疼痛评分，如20瓦特和30多瓦，30瓦激光装置。材料和方法：60名患有2-3厘米大小的肾结石和操作的患者，计划潜在分为三组。组是随机鉴定的。在第一组中，用20瓦激光装置的20瓦功率进行碎片化。在第二组中，使用30瓦激光装置的20瓦功率进行碎片化。在第三组中，用30瓦激光装置进行超过20瓦功率进行碎片化。记录了人口统计学，石头，术中和术后数据。我们将这些群体与效率，安全性和疼痛分数进行了比较。结果：对于人口统计和石材数据，只有统计学上的显着差异仅适用于石头数。对于术中和术后数据，只有统计学上显着的差异仅在组之间的输尿管接入鞘中使用。成功低于组中的其他群体1.结论：使用30瓦激光装置的团体成功更高。并发症和疼痛之间没有统计学显着差异。在逆行血管内手术中，30瓦激光器件安全有效。

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