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Effect of intra-institutional standardization of using intraoperative fluoroscopy in ureteroscopy
https://ycu.repo.nii.ac.jp/records/2367
https://ycu.repo.nii.ac.jp/records/2367b8945c3e-dd9d-45c6-95a3-8c2723da7215
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
横浜医学72巻４号（仁禮 卓磨） (539.3 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||||||||||
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| 公開日 | 2021-12-13 | |||||||||||||
| タイトル | ||||||||||||||
| タイトル | Effect of intra-institutional standardization of using intraoperative fluoroscopy in ureteroscopy | |||||||||||||
| タイトル | ||||||||||||||
| タイトル | Effect of intra-institutional standardization of using intraoperative fluoroscopy in ureteroscopy | |||||||||||||
| 言語 | en | |||||||||||||
| 言語 | ||||||||||||||
| 言語 | eng | |||||||||||||
| キーワード | ||||||||||||||
| 主題Scheme | Other | |||||||||||||
| 主題 | fluoroscopy time｜ureteral access sheath｜ureteroscopy｜ urinary stone｜X-ray exposure | |||||||||||||
| 資源タイプ | ||||||||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||||||||||
| 資源タイプ | departmental bulletin paper | |||||||||||||
| 著者 |
Nirei, Takuma
× Nirei, Takuma
× Tabei, Tadashi
× Ito, Hiroki
× Kobayashi, Kazuki
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| 抄録 | ||||||||||||||
| 内容記述タイプ | Abstract | |||||||||||||
| 内容記述 | Introduction: This study aimed to examine the efficacy of intra-institutional standardization of fluoroscopy use to reduce X-ray exposure and identify factors that predict reduced fluoroscopy time. Methods: We recruited 231 patients who underwent ureteroscopy at our institution between April 2017 and March 2019. The patients were divided into two groups‚ group A（ureteroscopy after standardization） and group B (ureteroscopy before standardization）. The clinical factors that reduced fluoroscopy time were identified using a multivariate regression model. Results: Fluoroscopy time was significantly shorter in group A （0.22 min） than in group B （1.11 min; p = 0.012）; however‚ no significant difference in surgical outcomes including stone free status and postoperative complications was found between the groups. The multivariate regression model identified ureteroscopy with standardizing the fluoroscopic use （odds ratio: 23.90‚ 10.59-50.98; p < 0.001） and ureteroscopy without postoperative ureter stent placement （odds ratio: 4.38‚ 1.98-9.68; p < 0.001） as independent contributors to reduced fluoroscopy time. Conclusion: The proposed standardization succeeded to minimized fluoroscopy time without compromising surgical outcomes. |
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| 書誌情報 |
横浜医学 en : YOKOHAMA MEDICAL JOURNAL 巻 72, 号 4, p. 489-494, 発行日 2021-12-03 |
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| 出版者 | ||||||||||||||
| 出版者 | 横浜市立大学医学会 | |||||||||||||
| ISSN | ||||||||||||||
| 収録物識別子 | 0372-7726 | |||||||||||||
