Introduction: Minimally invasive urological interventions have long been practiced blindly in our context. The popularization of ultrasound in urological practice has contributed to changing habits by making the proce...Introduction: Minimally invasive urological interventions have long been practiced blindly in our context. The popularization of ultrasound in urological practice has contributed to changing habits by making the procedures safer and more effective. The objective of this work was to study the technical aspects, indications and results of minimally invasive urological procedures guided by ultrasound. Material and methods: This was a prospective descriptive study lasting 1 year from January to December 2023 at the Médicis clinic in Conakry. Results: We carried out 126 ultrasound-guided urological interventions in one year, including 6 percutaneous nephrostomies (NPC), one renal cyst puncture-aspiration-sclerotherapy, 102 prostate biopsies, 5 drainages by transrectal aspiration of prostatic abscesses, 10 placements of cystostomy probes. Suprapubic, 2 puncture-aspiration-sclerotherapies for vaginal hydroceles. The average age of our patients was 69 years and the predominant age range was 61 - 70. The majority of our patients were male (97.61%) with a sex ratio of 41 men to one woman. Ultrasound-guided urological interventions were for diagnostic purposes (80.95%), for therapeutic purposes (15.77%) and for diagnostic and therapeutic purposes (3.96%). The indications for ultrasound-guided urological interventions were dominated by prostate pathologies (84.91%). The majority of interventions were performed rectally (84.92%) versus (13.43%) abdominally and only 1.58% scrotalally. All procedures were performed in B-ultrasound mode under local anesthesia and on an outpatient basis. For therapeutic interventions, the patients were seen again one month after the procedure, the clinical examination and ultrasound control found the evolution to be favorable. Conclusion: ultrasound is useful in urological practice for guiding minimally invasive interventions. The indications for ultrasound-guided procedures in urology are dominated by prostate pathologies. These procedures are safe and effective with fewer complications. Interventional ultrasound must be further integrated into the habits of urologists.展开更多
目的探讨超声引导下乳腺微创旋切术治疗良性乳腺肿块的临床效果。方法62例良性乳腺肿块患者,依照随机数字表法分为对照组和观察组,各31例。对照组患者采用传统开放手术治疗,观察组患者采用超声引导下乳腺微创旋切术治疗。比较两组手术...目的探讨超声引导下乳腺微创旋切术治疗良性乳腺肿块的临床效果。方法62例良性乳腺肿块患者,依照随机数字表法分为对照组和观察组,各31例。对照组患者采用传统开放手术治疗,观察组患者采用超声引导下乳腺微创旋切术治疗。比较两组手术指标、术后并发症发生情况、视觉模拟评分法(VAS)评分、感觉神经功能恢复时间、乳房外观评分。结果观察组切口长度(4.18±1.20)mm、切口愈合时间(3.52±1.16)d、手术时间(17.52±4.20)min均短于对照组的(27.56±3.24)mm、(6.65±1.52)d、(30.15±6.28)min,术中出血量(14.26±1.75)ml少于对照组的(21.56±3.20)ml,差异有统计学意义(P<0.05)。观察组术后并发症发生率3.23%明显低于对照组的19.35%,差异有统计学意义(P<0.05)。观察组术后6、12、24 h VAS评分分别为(4.63±1.20)、(3.52±0.85)、(2.18±0.66)分,均低于对照组的(5.96±1.23)、(5.23±0.98)、(3.78±0.88)分,差异有统计学意义(P<0.05)。观察组触觉恢复时间(146.28±15.20)min和痛觉恢复时间(194.23±15.74)min均短于对照组的(156.28±16.80)、(203.33±16.55)min,差异有统计学意义(P<0.05)。观察组乳头乳晕、切口瘢痕、色素沉着、乳房形状评分分别为(91.23±3.25)、(92.20±3.15)、(91.47±3.58)、(91.66±3.45)分,均高于对照组的(84.26±3.55)、(85.39±3.47)、(84.20±3.45)、(85.46±3.49)分,差异有统计学意义(P<0.05)。结论对良性乳腺肿块患者采取超声引导下乳腺微创旋切术治疗的疗效显著,且安全性高,术后疼痛感较轻微,创伤小,值得采纳。展开更多
文摘Introduction: Minimally invasive urological interventions have long been practiced blindly in our context. The popularization of ultrasound in urological practice has contributed to changing habits by making the procedures safer and more effective. The objective of this work was to study the technical aspects, indications and results of minimally invasive urological procedures guided by ultrasound. Material and methods: This was a prospective descriptive study lasting 1 year from January to December 2023 at the Médicis clinic in Conakry. Results: We carried out 126 ultrasound-guided urological interventions in one year, including 6 percutaneous nephrostomies (NPC), one renal cyst puncture-aspiration-sclerotherapy, 102 prostate biopsies, 5 drainages by transrectal aspiration of prostatic abscesses, 10 placements of cystostomy probes. Suprapubic, 2 puncture-aspiration-sclerotherapies for vaginal hydroceles. The average age of our patients was 69 years and the predominant age range was 61 - 70. The majority of our patients were male (97.61%) with a sex ratio of 41 men to one woman. Ultrasound-guided urological interventions were for diagnostic purposes (80.95%), for therapeutic purposes (15.77%) and for diagnostic and therapeutic purposes (3.96%). The indications for ultrasound-guided urological interventions were dominated by prostate pathologies (84.91%). The majority of interventions were performed rectally (84.92%) versus (13.43%) abdominally and only 1.58% scrotalally. All procedures were performed in B-ultrasound mode under local anesthesia and on an outpatient basis. For therapeutic interventions, the patients were seen again one month after the procedure, the clinical examination and ultrasound control found the evolution to be favorable. Conclusion: ultrasound is useful in urological practice for guiding minimally invasive interventions. The indications for ultrasound-guided procedures in urology are dominated by prostate pathologies. These procedures are safe and effective with fewer complications. Interventional ultrasound must be further integrated into the habits of urologists.
文摘目的探讨超声引导下乳腺微创旋切术治疗良性乳腺肿块的临床效果。方法62例良性乳腺肿块患者,依照随机数字表法分为对照组和观察组,各31例。对照组患者采用传统开放手术治疗,观察组患者采用超声引导下乳腺微创旋切术治疗。比较两组手术指标、术后并发症发生情况、视觉模拟评分法(VAS)评分、感觉神经功能恢复时间、乳房外观评分。结果观察组切口长度(4.18±1.20)mm、切口愈合时间(3.52±1.16)d、手术时间(17.52±4.20)min均短于对照组的(27.56±3.24)mm、(6.65±1.52)d、(30.15±6.28)min,术中出血量(14.26±1.75)ml少于对照组的(21.56±3.20)ml,差异有统计学意义(P<0.05)。观察组术后并发症发生率3.23%明显低于对照组的19.35%,差异有统计学意义(P<0.05)。观察组术后6、12、24 h VAS评分分别为(4.63±1.20)、(3.52±0.85)、(2.18±0.66)分,均低于对照组的(5.96±1.23)、(5.23±0.98)、(3.78±0.88)分,差异有统计学意义(P<0.05)。观察组触觉恢复时间(146.28±15.20)min和痛觉恢复时间(194.23±15.74)min均短于对照组的(156.28±16.80)、(203.33±16.55)min,差异有统计学意义(P<0.05)。观察组乳头乳晕、切口瘢痕、色素沉着、乳房形状评分分别为(91.23±3.25)、(92.20±3.15)、(91.47±3.58)、(91.66±3.45)分,均高于对照组的(84.26±3.55)、(85.39±3.47)、(84.20±3.45)、(85.46±3.49)分,差异有统计学意义(P<0.05)。结论对良性乳腺肿块患者采取超声引导下乳腺微创旋切术治疗的疗效显著,且安全性高,术后疼痛感较轻微,创伤小,值得采纳。
