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
目的探讨安珂微创旋切术联合留置针冲洗引流治疗非哺乳期乳腺炎的临床效果。方法将本院收治的90例非哺乳期乳腺炎患者根据治疗方式不同分为观察组和对照组,各45例。观察组在超声引导下行安珂微创旋切术联合留置针冲洗引流治疗,对照组行...目的探讨安珂微创旋切术联合留置针冲洗引流治疗非哺乳期乳腺炎的临床效果。方法将本院收治的90例非哺乳期乳腺炎患者根据治疗方式不同分为观察组和对照组,各45例。观察组在超声引导下行安珂微创旋切术联合留置针冲洗引流治疗,对照组行传统切开术治疗。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组(P<0.05)。观察组的手术时间、住院时间、换药时间、切口愈合时间均短于对照组,术中出血量少于对照组,术后24 h NRS评分低于对照组,手术切口长度小于对照组(P<0.05)。术后6个月,观察组的复发率低于对照组,QOL、乳房形态满意度评分及乳房形态优良率高于对照组(P<0.05)。结论安珂微创旋切术联合留置针冲洗引流治疗非哺乳期乳腺炎安全有效,可更好地保留乳房形态,值得临床推荐。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.
文摘目的探讨安珂微创旋切术联合留置针冲洗引流治疗非哺乳期乳腺炎的临床效果。方法将本院收治的90例非哺乳期乳腺炎患者根据治疗方式不同分为观察组和对照组,各45例。观察组在超声引导下行安珂微创旋切术联合留置针冲洗引流治疗,对照组行传统切开术治疗。比较两组的治疗效果。结果观察组的治疗总有效率高于对照组(P<0.05)。观察组的手术时间、住院时间、换药时间、切口愈合时间均短于对照组,术中出血量少于对照组,术后24 h NRS评分低于对照组,手术切口长度小于对照组(P<0.05)。术后6个月,观察组的复发率低于对照组,QOL、乳房形态满意度评分及乳房形态优良率高于对照组(P<0.05)。结论安珂微创旋切术联合留置针冲洗引流治疗非哺乳期乳腺炎安全有效,可更好地保留乳房形态,值得临床推荐。
