仰臥位経皮的腎砕石術における合併症:チューブレス法とネフロストミーチューブ法の比較
Alberto Zambudio-Munuera1, Patricia Rodriguez-Parras1, Miguel Herraez-Marcos1
1Urology Department, San Cecilio University Hospital, 18016 Granada, Spain.
Archivos espanoles de urologia
|January 6, 2026
まとめ
チューブレス経皮的腎砕石術(PCNL)は、結石除去率に影響を与えることなく、腎臓結石の合併症と入院期間を減少させる。この方法は選択された患者にとって安全である。
科学分野:
- 泌尿器科学;腎臓病学;外科的イノベーション
背景:
- 経皮的腎砕石術(PCNL)は、20 mmを超える腎臓結石の標準的な治療法である。;ネフロストミーチューブの留置は、PCNL後の一般的な処置である。;転帰に対するネフロストミーチューブの影響は、さらに評価する必要がある。
主な方法:
- 2018年1月から2024年6月までの仰臥位PCNL患者243名を対象とした後向き観察研究。;チューブレス群とネフロストミーチューブ群の間で、臨床的、外科的、および術後の変数を比較した。;合併症は感染性、出血性、または重症に分類された。;結石除去率はCTで評価された。
結論:
- チューブレスPCNLは、合併症を有意に減らし、入院期間を短縮する。;チューブレス法は、結石除去率を犠牲にしない。;チューブレスPCNLは、適切に選択された患者にとって安全な選択肢である。
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