...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The Urologic clinics of North America >Ureteral access strategies: pro-access sheath.
【24h】

Ureteral access strategies: pro-access sheath.

机译：输尿管入路策略：进路护套。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Routine use of the ureteral access sheath during flexible ureteroscopic procedures provides consistent, reliable, and unencumbered access to the upper tracts. The ureteral access sheath can be reliably and easily deployed if used properly and requires no special training. As such, it can be easily adopted into current urologic practice. Not only does the access sheath facilitate rapid, repeated, and atraumatic access to the upper tracts, but it also avoids back-loading over a superstiff guidewire, which may incur costly damage to the ureteroscope. The access sheath reduces overall costs and decreases operative times. Furthermore, application of a ureteral access sheath reduces the frustration associated with complex and some routine ureteroscopic procedures by optimizing irrigant flow to improve the surgeon's endoscopic vision while minimizing the intrarenal pressures that the kidney must tolerate. There is no evidence that the access sheath results in clinically significant ureteral ischemia, and extensive clinical use of the access sheath for long procedures has not resulted in increased stricture formation. Finally, the ureteral access sheath is useful for other procedures, such as PCNL, by improving visualization and minimizing the requirement for multiple percutaneous access sites. Winston Churchill said it best: "Give us the tools and we will finish the job." Industry has provided urologists with the tools in the form of advanced flexible ureteroscopes, the holmium laser, nitinol baskets, and the ureteral access sheath. Now it is up to urologists to finish the job.
机译：在灵活的输尿管镜手术过程中常规使用输尿管进入鞘管可提供一致，可靠且不受阻碍的上尿道进入。如果正确使用，则输尿管入路护套可以可靠，轻松地展开，并且不需要特殊培训。因此，它很容易被当前的泌尿科实践所采用。进入鞘不仅有助于快速，重复和无创伤地进入上管，而且还避免了超硬导丝上的反负荷，这可能会对输尿管镜造成高昂的损害。通道护套减少了总成本并减少了操作时间。此外，输尿管进入鞘的应用通过优化冲洗液流量以改善外科医生的内窥镜视野，同时将肾脏必须承受的肾内压力降至最低，从而减少了与复杂的和常规的输尿管镜操作相关的挫败感。没有证据表明通路鞘管会导致临床上明显的输尿管缺血，并且长期使用该通路鞘管在临床上并未导致狭窄形成的增加。最后，输尿管入路鞘管可用于其他手术，例如PCNL，可改善可视化程度并减少对多个经皮入路部位的需求。温斯顿·丘吉尔（Winston Churchill）最好地说：“给我们工具，我们将完成工作。”工业界向泌尿科医师提供了先进的柔性输尿管镜，the激光，镍钛合金提篮和输尿管进入鞘等形式的工具。现在由泌尿科医生完成工作了。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号